Late failure of Frey procedure due to gastro-jejunal fistula formation

Atoosa Rabiee, Kevin Moreman, Parviz Nikoomanesh, Dana K. Andersen

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)445-447
Number of pages3
JournalJournal of the Pancreas
Volume10
Issue number4
StatePublished - 2009

Fingerprint

Pancreaticojejunostomy
Fistula
Chronic Pancreatitis
Extremities
Pain
Recurrence
Jejunum
Stomach

Keywords

  • Chronic
  • Fistula
  • Pancreaticojejunostomy
  • Pancreatitis

ASJC Scopus subject areas

  • Endocrinology
  • Endocrinology, Diabetes and Metabolism
  • Hepatology

Cite this

Rabiee, A., Moreman, K., Nikoomanesh, P., & Andersen, D. K. (2009). Late failure of Frey procedure due to gastro-jejunal fistula formation. Journal of the Pancreas, 10(4), 445-447.

Late failure of Frey procedure due to gastro-jejunal fistula formation. / Rabiee, Atoosa; Moreman, Kevin; Nikoomanesh, Parviz; Andersen, Dana K.

In: Journal of the Pancreas, Vol. 10, No. 4, 2009, p. 445-447.

Research output: Contribution to journalArticle

Rabiee, A, Moreman, K, Nikoomanesh, P & Andersen, DK 2009, 'Late failure of Frey procedure due to gastro-jejunal fistula formation', Journal of the Pancreas, vol. 10, no. 4, pp. 445-447.
Rabiee A, Moreman K, Nikoomanesh P, Andersen DK. Late failure of Frey procedure due to gastro-jejunal fistula formation. Journal of the Pancreas. 2009;10(4):445-447.
Rabiee, Atoosa ; Moreman, Kevin ; Nikoomanesh, Parviz ; Andersen, Dana K. / Late failure of Frey procedure due to gastro-jejunal fistula formation. In: Journal of the Pancreas. 2009 ; Vol. 10, No. 4. pp. 445-447.
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