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Pancreas. Frey's procedure is a surgical technique used in the treatment of chronic pancreatitis in which the diseased portions of the pancreas head are cored out. A lateral pancreaticojejunostomy (LRLPJ) is then performed in which a loop of the jejunum is then mobilized and attached over the exposed pancreatic duct to allow better drainage of the pancreas, including its head.
The Puestow procedure (also known as a Puestow-Gillesby procedure, or a lateral pancreaticojejunostomy) is a surgical technique used in the treatment of chronic pancreatitis. It involves a side-to-side anastomosis of the pancreatic duct and the jejunum .
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However, both enzymes can be elevated in other disease states. In chronic pancreatitis, the fecal pancreatic elastase-1 (FPE-1) test is a marker of exocrine pancreatic function. Additional tests that may be useful in evaluating chronic pancreatitis include hemoglobin A1C, immunoglobulin G4, rheumatoid factor, and anti-nuclear antibody. [31]
In the duodenum, dietary fat (primarily triglycerides) is digested by enzymes such as pancreatic lipase into smaller molecules of 1,2-Diacylglycerols and free fatty acids, which can be absorbed through the wall of the jejenum of the small intestine [1] and enter circulation for metabolism and storage.
[citation needed] A systematic review of clinical trials concluded that a previous history of PEP or pancreatitis significantly increases the risk for PEP to 17.8% and to 5.5% respectively. [20] [21] Intestinal perforation is a risk of any gastroenterologic endoscopic procedure, and is an additional risk if a sphincterotomy is performed.
assess mortality risk of acute pancreatitis The Ranson criteria form a clinical prediction rule for predicting the prognosis and mortality risk of acute pancreatitis . They were introduced in 1974 by the English - American pancreatic expert and surgeon Dr. John Ranson (1938–1995).
Lundh's test is a test of function of the exocrine function of the pancreas gland. [ citation needed ] The exocrine role of the pancreas involves release of various digestive enzymes, including lipase and proteases , such as trypsin , in response to hormonal stimulation after eating.