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Published on: December 14, 2019
Complications after Frey's procedure for chronic pancreatitis
Adarsh Chaudhary1, Sanjay S Negi, Shakeel Masood
1Department of Gastrointestinal Surgery, Gobind Ballabh Pant Hospital, University of Delhi, D 2/97, East Kidwai Nagar, New Delhi 110023, India. adarsh@nda.vsnl.net.in
American Journal of Surgery
|September 29, 2004
Summary
Postoperative complications after Frey's operation (LRLPJ) for chronic pancreatitis are common, often septic, and linked to prior endoscopic pancreatic stenting. This stenting increases complication risk and prolongs hospital stays.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pancreatic Surgery
Background:
- Frey's operation (LRLPJ) is a pancreatic head resection for chronic pancreatitis.
- Limited data exists on postoperative complications and risk factors for LRLPJ.
- This study investigates complications following LRLPJ.
Purpose of the Study:
- To identify and analyze postoperative complications after Frey's operation (LRLPJ).
- To determine factors associated with increased complication rates in LRLPJ patients.
Main Methods:
- Retrospective review of 41 patients undergoing LRLPJ for chronic pancreatitis (1990-2003).
- Analysis of early postoperative complications and patient history.
Main Results:
- 39% of patients experienced 19 early postoperative complications; septic complications were most frequent.
- Preoperative endoscopic pancreatic stenting was significantly associated with complications (P=0.0041).
- History of pancreatic stenting correlated with prolonged hospital stay (P=0.022).
Conclusions:
- Postoperative complications after LRLPJ are predominantly septic.
- Endoscopic pancreatic stenting prior to LRLPJ increases the risk of complications.
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