#freysprocedure

[pace-hospitals]

Chronic Pancreatitis with Pancreatic Duct Calculi treated with Frey’s Procedure & Postoperative Diabetic Ketoacidosis Care

A 57-year-old male patient was diagnosed with chronic pancreatitis complicated by diabetic ketoacidosis (DKA), underwent Frey’s procedure (longitudinal pancreaticojejunostomy) with cholecystectomy.

Chief Complaints

A 57-year-old male patient presented to the Surgical Gastroenterology Department of PACE Hospitals, Hyderabad, with the chief complaints of abdominal pain and generalized weakness for a week. The patient was apparently asymptomatic a week ago, and then he developed pain involving the epigastric region, radiating to the back.

Medical History

Upon detailed medical investigation, the patient was found to have a five-year history of chronic pancreatitis. He was also a known case of Diabetes mellitus with uncontrolled blood sugar levels at the time of admission. The patient denied any history of previous surgeries.

Diagnosis

The patient was diagnosed with chronic pancreatitis with pancreatic duct calculi. He was also diagnosed with diabetic ketoacidosis (DKA), which developed postoperatively.

Medical Decision Making (MDM)

Upon admission, the patient’s liver function tests (LFTs) were abnormal, and his blood glucose levels were found to be uncontrolled. A CECT of the abdomen with IV contrast confirmed the presence of chronic calcific pancreatitis with a dilated main pancreatic duct, multiple ductal calculi, and peripancreatic fat stranding.

Given the patient’s elevated bilirubin and alkaline phosphatase (ALP) levels, an MRCP was performed to rule out common bile duct (CBD) strictures or stones, which was normal. Initially, the patient was managed with IV fluids, insulin therapy, pain management, antibiotics, and other supportive treatments.

Treatment Procedure

After discussing the treatment plan with the family, the surgical gastroenterologist, bariatric and metabolic surgeon, GI and HPB oncologist and liver transplant surgeon Dr. Phani Krishna Ravula, along with Dr. Suresh Kumar S, decided to proceed with Frey’s procedure for definitive management of chronic pancreatitis with ductal obstruction.

Chronic Pancreatitis treated with Frey’s Procedure

[pace-hospitals]

Patient Review in Hindi | FREY's Procedure के द्वारा क्रोनिक पैंक्रियाटाइटिस का सफलतापूर्वक ईलाज

Team of Top Surgical Gastroenterologists in Hyderabad: https://www.pacehospital.com/surgical-gastroenterology-doctors Know more about:  Dr Ravula Phani Krishna | Surgical Gastroenterologist and Liver Transplant Surgeon at PACE Hospitals: https://www.pacehospital.com/dr-ravula-phani-krishna