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Inadvertent choledochotomy during Frey's procedure: management options

Kenneth D'Cruz, Natarajan Angamuthu, J Anand
Indian Journal of Gastroenterology: Official Journal of the Indian Society of Gastroenterology 2003, 22 (6): 226-7
We report the occurrence of inadvertent injury to the intra-pancreatic common bile duct in 3 of 9 patients undergoing Frey's procedure for chronic pancreatitis with inflammatory mass in the head. In one case, the choledochotomy was extended and anastomosed to the cored-out parenchyma. In the other two, after lateral pancreatico-jejunostomy, hepatico-jejunostomy was performed using the same Roux loop.

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