Frey's procedure

Frey's procedure is a surgical intervention used to manage chronic pancreatitis, a condition characterized by inflammation of the pancreas. This procedure is named after the French surgeon, Claude Frey, who first described it in 1977.

Overview

Frey's procedure involves the removal of the head of the pancreas and the creation of a lateral pancreaticojejunostomy. This procedure is designed to relieve pain and improve the quality of life for patients suffering from chronic pancreatitis.

Indications

Frey's procedure is indicated for patients with chronic pancreatitis who have not responded to conservative management strategies. It is particularly useful for patients with a dilated pancreatic duct and a small, fibrotic head of the pancreas.

Procedure

The procedure begins with a midline incision in the abdomen. The surgeon then removes the head of the pancreas and creates a lateral pancreaticojejunostomy. This involves connecting the pancreatic duct to the jejunum, a part of the small intestine. This allows the pancreatic enzymes to drain directly into the small intestine, bypassing the blocked or narrowed ducts.

Risks and Complications

As with any surgical procedure, Frey's procedure carries risks. These include infection, bleeding, and the development of diabetes due to the removal of a portion of the pancreas. There is also a risk of malabsorption due to the alteration of the digestive tract.

Prognosis

The prognosis following Frey's procedure is generally good. Most patients experience significant pain relief and an improved quality of life. However, the long-term success of the procedure depends on the patient's overall health and the severity of their pancreatitis.

See Also

• Chronic pancreatitis
• Pancreaticojejunostomy
• Pancreas
• Jejunum

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