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Surgery Today

, Volume 49, Issue 2, pp 137–142 | Cite as

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

  • Hideaki Sato
  • Masaharu IshidaEmail author
  • 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
Original Article

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.

Keywords

Chronic pancreatitis Frey procedure Distal pancreatectomy 

Notes

Compliance with ethical standards

Conflict of interest

Hideaki Sato and the other co-authors have no conflicts of interest to declare in association with this study.

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Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  • Hideaki Sato
    • 1
  • Masaharu Ishida
    • 1
    Email author
  • Fuyuhiko Motoi
    • 1
  • Naoaki Sakata
    • 2
  • Takeshi Aoki
    • 1
  • Hideyuki Suzuki
    • 1
  • Akihiro Yamamura
    • 1
  • Hideaki Karasawa
    • 1
  • Tatsuo Hata
    • 1
  • Hideo Ohtsuka
    • 1
  • Masamichi Mizuma
    • 1
  • Takanori Morikawa
    • 1
  • Hiroki Hayashi
    • 1
  • Kei Nakagawa
    • 1
  • Takashi Kamei
    • 1
  • Takeshi Naitoh
    • 1
  • Shinichi Egawa
    • 3
  • Michiaki Unno
    • 1
  1. 1.Department of SurgeryTohoku University Graduate School of MedicineSendaiJapan
  2. 2.Department of Regenerative Medicine and Transplantation, Faculty of MedicineFukuoka UniversityFukuokaJapan
  3. 3.Division of International Cooperation for Disaster Medicine, International Research Institute of Disaster ScienceTohoku UniversitySendaiJapan

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