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01-02-2019 | Original Article

Combination of longitudinal pancreaticojejunostomy with coring-out of the pancreatic head (Frey procedure) and distal pancreatectomy for chronic pancreatitis

Authors: Hideaki Sato, Masaharu Ishida, Fuyuhiko Motoi, Naoaki Sakata, Takeshi Aoki, Hideyuki Suzuki, Akihiro Yamamura, Hideaki Karasawa, Tatsuo Hata, Hideo Ohtsuka, Masamichi Mizuma, Takanori Morikawa, Hiroki Hayashi, Kei Nakagawa, Takashi Kamei, Takeshi Naitoh, Shinichi Egawa, Michiaki Unno

Published in: Surgery Today | Issue 2/2019

Abstract

Purpose

The Frey procedure is an effective surgery for chronic pancreatitis (CP) patients who have pancreatic head lesions with dilation of the main pancreatic duct. However, pancreatic tail lesions can cause relapsing pancreatitis after the procedure. Therefore, additional distal pancreatectomy (DP) might complement the therapeutic effect of the Frey procedure in controlling inflammation of the pancreatic tail. The Frey procedure with DP (Frey + DP) is indicated for inflammatory lesions in the pancreatic head and tail. In this study, we assessed the usefulness of Frey + DP using the retrospective clinical data of our cases.

Methods

The clinical outcomes were compared between CP patients who underwent the Frey procedure (N = 44) and Frey + DP (N = 13) from January 2005 to April 2016.

Results

Frey + DP showed similarly good therapeutic effects to the Frey procedure with regard to the postoperative stay, morbidity, mortality, pain relief and nutrition, although the Frey + DP had a longer operative time, more bleeding and higher incidence of diabetes mellitus than the Frey procedure because of the additional DP. One patient in the Frey group received additional DP because of recurrent pain due to the tail lesion.

Conclusion

Frey + DP can be a promising treatment for CP patients with pancreatic head and tail lesions.

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Title: Combination of longitudinal pancreaticojejunostomy with coring-out of the pancreatic head (Frey procedure) and distal pancreatectomy for chronic pancreatitis
Authors: Hideaki Sato
Masaharu Ishida
Fuyuhiko Motoi
Naoaki Sakata
Takeshi Aoki
Hideyuki Suzuki
Akihiro Yamamura
Hideaki Karasawa
Tatsuo Hata
Hideo Ohtsuka
Masamichi Mizuma
Takanori Morikawa
Hiroki Hayashi
Kei Nakagawa
Takashi Kamei
Takeshi Naitoh
Shinichi Egawa
Michiaki Unno
Publication date: 01-02-2019
Publisher: Springer Singapore
Published in: Surgery Today / Issue 2/2019
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-018-1720-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Combination of longitudinal pancreaticojejunostomy with coring-out of the pancreatic head (Frey procedure) and distal pancreatectomy for chronic pancreatitis

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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