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One of the problems that can lead to failure of the Puestow procedure is that pain can persist due to failure to drain the pancreatic duct on the head of the pancreas. A Frey's procedure is an alternative surgical procedure to the Puestow that allows for better drainage of the head, but pancreatic tissue is removed.
[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.
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.
In medicine, a pancreatectomy is the surgical removal of all or part of the pancreas.Several types of pancreatectomy exist, including pancreaticoduodenectomy (Whipple procedure), distal pancreatectomy, segmental pancreatectomy, and total pancreatectomy.
6. Esophagectomy: Removal of the esophagus in whole or in part, usually to treat esophageal cancer. 7. Pancreatic Surgery: procedures involving the pancreas, such as the Whipple surgery (pancreaticoduodenectomy), which is used to treat some forms of pancreatic cancer and other serious pancreatic diseases. 8.
Some uses for this procedure includes: drainage of bile/infected bile to relieve obstructive jaundice, to place a stent to dilate a stricture in the biliary system, stone removal, and rendezvous technique [4] where guidewire from the common bile duct (CBD) meets with duodenoscope (coming from the oesophagus into the stomach and then duodenum) at the major duodenal papilla.
The 45-year-old television personality was diagnosed with a rare type of pancreatic cancer, a pancreatic neuroendocrine tumor, in January 2023 and had it removed the following month.
Pancreatic leak or pancreatic fistula, defined as fluid drained after postoperative day 3 that has an amylase content greater than or equal to 3 times the upper limit of normal, occurs in 5–10% of operations, [31] [32] although changes in the definition of fistula may now include a much larger proportion of patients (upwards of 40%). [33]