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Related Concept Videos

Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

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The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
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Chronic Pancreatitis I: Introduction01:24

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The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
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Chronic pancreatitis is a long-standing, relapsing inflammation of the pancreas, characterized by irreversible damage to the gland. It results in progressive destruction of the pancreatic parenchyma, fibrosis, and eventual loss of both exocrine and endocrine function. The disease may evolve gradually after multiple episodes of acute pancreatitis or develop independently.EtiologyChronic pancreatitis can arise from a variety of causes:Alcohol use is the leading cause, accounting for 70–80%...
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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Chronic pancreatitis is a progressive and irreversible inflammation of the pancreas, most often caused by long-term alcohol abuse, but it can also be related to ductal obstruction, smoking, or genetic factors.Chronic pancreatitis occurs when the pancreas is repeatedly exposed to harmful agents like alcohol, smoking, ductal obstruction, or genetic predisposition. These factors lead to the release of toxic metabolites and inflammatory cytokines, sustaining chronic inflammation in the pancreatic...
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Related Experiment Video

Updated: May 3, 2026

Robotic-assisted Lateral Pancreaticojejunostomy for Chronic Pancreatitis
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Laparoscopic frey procedure for chronic pancreatitis.

Michol A Cooper1, Tejwant S Datta, Martin A Makary

  • 1Department of Surgery, Johns Hopkins Hospital, Baltimore, MD.

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
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Summary

Laparoscopic Frey procedure offers a minimally invasive surgical option for chronic pancreatitis. This approach successfully treated a patient with pancreatic duct stones, leading to symptom relief and early recovery.

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Area of Science:

  • Gastroenterology
  • Minimally Invasive Surgery

Background:

  • Chronic pancreatitis causes severe pain and organ insufficiency.
  • Surgical intervention is considered when medical management fails.
  • The Frey procedure, a hybrid approach, shows promise for select patients.

Observation:

  • A patient presented with chronic pancreatitis and a dilated pancreatic duct with stones.
  • Laparoscopic Frey procedure was performed due to imaging findings.

Findings:

  • The patient experienced a successful outcome with no complications.
  • Discharge occurred on postoperative day 6, with complete symptom resolution and no opioid use.

Implications:

  • Laparoscopic Frey procedure is a viable treatment for chronic pancreatitis.
  • Minimally invasive surgery offers significant benefits for patients.
  • This technique can effectively manage pancreatic duct stones and associated symptoms.