Document Detail

Late failure of Frey procedure due to gastro-jejunal fistula formation.
MedLine Citation:
PMID:  19581754     Owner:  NLM     Status:  MEDLINE    
CONTEXT: Local resection of the pancreatic head with longitudinal pancreaticojejunostomy (or Frey procedure) generally results in excellent pain relief in chronic pancreatitis. We report a patient with chronic pancreatitis who experienced pain recurrence after an uneventful longitudinal pancreaticojejunostomy. CASE REPORT: This is a single case study of a 58-year-old female with chronic pancreatitis undergoing longitudinal pancreaticojejunostomy for pain relief. Fifteen months after the surgery, the patient experienced pain recurrence. Radiologic evaluation followed by surgical exploration revealed a gastroenteric fistula to the Roux-limb, with obliteration of the anastomosis. After repair of the fistula and re-excavation of the pancreatic head, a two-layer longitudinal pancreaticojejunostomy was reconstructed from the same Roux-limb. An omental flap was interposed between the Roux limb and the repaired stomach. At 6-month follow-up, the patient was pain free and asymptomatic. CONCLUSION: Late failure of the Frey procedure due to a gastroenteric fistula to the Roux-limb of jejunum has not been previously reported. This finding may explain one of the causes of longitudinal pancreaticojejunostomy late failure.
Atoosa Rabiee; Kevin Moreman; Parviz Nikoomanesh; Dana K Andersen
Related Documents :
21735434 - Botulinum toxin for subacute/chronic neck pain.
16167354 - Pelvic floor electromyography in men with chronic pelvic pain syndrome: a case-control ...
21824584 - The electrodiagnostic evaluation of neck pain.
23067004 - Guidelines for neuropathic pain management in patients with cancer: a european survey a...
17236654 - French-window thoracotomy: postoperative pain avoidance for short-stay lung cancer surg...
16316864 - Combination inhalers containing inhaled corticosteroids and long-acting beta2-agonists:...
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-07-06
Journal Detail:
Title:  JOP : Journal of the pancreas     Volume:  10     ISSN:  1590-8577     ISO Abbreviation:  JOP     Publication Date:  2009  
Date Detail:
Created Date:  2009-07-07     Completed Date:  2009-09-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101091810     Medline TA:  JOP     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  445-7     Citation Subset:  IM    
Department of Surgery, Johns Hopkins Bayview Medical Center, Baltimore, MD 21224, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Intestinal Fistula / diagnosis*,  etiology,  surgery
Middle Aged
Pain / etiology
Pancreaticojejunostomy / adverse effects,  methods*
Pancreatitis, Chronic / surgery
Postoperative Complications / diagnosis*,  etiology,  surgery
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Pseudoaneurysmal rupture of the common hepatic artery into the biliodigestive anastomosis. A rare ca...
Next Document:  Managing Unsuspected Tumour Invasion of the Superior Mesenteric-Portal Vein during Surgery for Pancr...