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Chronic Pancreatitis: Puestow and Frey Procedures

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Case-Based Lessons in the Management of Complex Hepato-Pancreato-Biliary Surgery

Abstract

Chronic pancreatitis is a complex disease process best addressed by a multidisciplinary approach. The surgical treatment of chronic pancreatitis requires a detailed understanding of the ductal anatomy and natural history of the disease. Surgical drainage of the distal pancreatic duct via longitudinal pancreatojejunostomy can successfully alleviate ductal hypertension, relieve pain, and preserve endocrine and exocrine function. Preferred approaches, as described by several prominent surgeons of the past, include the Frey and Puestow procedures. With a growing understanding of the pathophysiology of ductal hypertension, pancreatic pain, and chronic inflammation, modern modifications of classic surgical techniques remain critical tools in successful, sustained management for patients requiring ductal decompression.

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Author information

Authors and Affiliations

  1. Department of Surgery, University of Cincinnati, 231 Albert Sabin Way, ML0558, Cincinnati, OH, 45267, USA

    Alex Chang

  2. University of Wisconsin School of Medicine and Public Health, 600 Highland Ave, K4/742, Madison, WI, 53792, USA

    Daniel Abbott

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  1. Alex Chang
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  2. Daniel Abbott
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Correspondence to Daniel Abbott .

Editor information

Editors and Affiliations

  1. The Ohio State Wexner Medical Center , The Ohio State University School of Medicine , Columbus, Ohio, USA

    Timothy M. Pawlik

  2. Division of General Surgery, University of Wisconsin-Madison, Madison, Wisconsin, USA

    Sharon Weber

  3. Medical College of Wisconsin, Milwaukee, Wisconsin, USA

    T. Clark Gamblin

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Chang, A., Abbott, D. (2017). Chronic Pancreatitis: Puestow and Frey Procedures. In: Pawlik, T., Weber, S., Gamblin, T. (eds) Case-Based Lessons in the Management of Complex Hepato-Pancreato-Biliary Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-50868-9_30

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  • DOI: https://doi.org/10.1007/978-3-319-50868-9_30

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-50867-2

  • Online ISBN: 978-3-319-50868-9

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