title: Inadvertent choledochotomy during Frey's procedure: management options.
abstract: 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.
authors.affiliation: Unit of Surgical Gastroenterology and Laparoscopic Surgery, St John's Medical College Hospital, Bangalore 560 034.
authors.forename: Kenneth
authors.initials: K
authors.lastname: D'Cruz
authors.forename: Natarajan
authors.initials: N
authors.lastname: Angamuthu
authors.forename: J
authors.initials: J
authors.lastname: Anand
mesh_terms: D000714:Anastomosis, Surgical; D002908:Chronic Disease; D003135:Common Bile Duct / Q000293:injuries* / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications / Q000601:surgery; D010193:Pancreaticojejunostomy / Q000009:adverse effects; D010195:Pancreatitis / Q000601:surgery*