ArticleEuroasian journal of hepato-gastroenterology
Comprehensive Outcomes of the Frey Procedure: A Single-center Perspective.
Article in Euroasian journal of hepato-gastroenterology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Quality of Life in Patients with Chronic Pancreatitis after Frey's Procedure at Tertiary Care Centre: An Observational Study.JNMA; journal of the Nepal Medical Association · 2025Observational
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3 authors.
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Abstract
Introduction: Chronic pancreatitis is a severe, ongoing inflammation of the pancreas, characterized by significant abdominal pain and deficiencies in both exocrine and endocrine functions. This condition greatly reduces overall well-being, induces psychological distress, and results in a considerable economic burden. The primary indication for surgical intervention is uncontrollable pain. Frey's procedure is the preferred surgical option. Objectives: This research aims to assess the effectiveness of long-term pain management in individuals with chronic pancreatitis who have undergone the Frey procedure, using a validated pain assessment tool. Additionally, it evaluates exocrine and endocrine insufficiencies along with overall quality of life. Materials and methods: This is a retrospectively analyzed prospective study conducted at KIMS-Sunshine Hospital, Secunderabad. We evaluated 48 patients who underwent the Frey procedure from 2016 to 2021, each with a follow-up period of at least 1 year. The assessment comprised the validated Izbicki pain score along with evaluations of exocrine and endocrine functions, quality of life using the SF-6 questionnaire, and nutritional status, considering factors such as steatorrhea, glycemic control, and weight gain. Results: The total number of patients enrolled was 52. Four patients were identified intraoperatively as having malignancy by frozen section and were therefore converted to the Whipple procedure. Therefore, 48 patients (30 = male, 18 = female, mean age 35.2 years) were analyzed in this study. About 6 patients underwent hepaticojejunostomy along with Frey's procedure in view of benign biliary stricture.In this study of 48 patients, the preoperative mean overall pain score was 66.67. Postoperative mean overall pain scores were recorded at 3, 12, 36, and 60 months, showing values of 6.27, 6.37, 8.26, and 8.42, respectively. These results indicate a clear and statistically significant ( Conclusion: Frey's procedure is safe and effective in relieving pain in chronic calcific pancreatitis (CCP) with improved quality of life and seems to be better than PD stenting. However, it has no role in the control of exocrine and endocrine pancreatic insufficiency. How to cite this article: Eppa VR, Musham R, Senapathy G. Comprehensive Outcomes of the Frey Procedure: A Single-center Perspective. Euroasian J Hepato-Gastroenterol 2024;14(2):182-186.
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