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Frey’s procedure, which is performed for chronic pancreatitis, principally involves coring of the head of the pancreas and pancreaticojejunostomy. The coring of the inflamed and enlarged pancreatic head is the most difficult and time-consuming part of this operation and is often associated with considerable bleeding. We used the harmonic scalpel to perform Frey’s procedure in six consecutive patients,...
Summary Background. Involvement of the biliary tract in pancreatic necrosis is rare. The authors are presenting six patients with this unusual complication. Methods. Retrospective analysis of a case series. Results. The necrotic process involved the bile duct in four patients (bile duct alone in two and bile duct with duodenum in two) and the gall bladder in two patients. It was not possible to...
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