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Frey procedure for surgical management of chronic pancreatitis in children

Michael D Rollins1, Rebecka L Meyers

  • 1Division of Pediatric Surgery, Primary Children's Medical Center, Salt Lake City, UT 84113, USA.

Journal of Pediatric Surgery
|June 9, 2004
PubMed

Insights

The Frey procedure offers effective surgical management for pediatric chronic pancreatitis, particularly when conservative treatments fail. This approach helps prevent recurrent pancreatic head disease in children.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Pancreatic Diseases

Background:

  • Chronic pancreatitis management in children presents unique challenges.
  • The Frey procedure was adopted due to recurrent disease post-longitudinal pancreaticojejunostomy (LPJ).
  • This study details the first use of the Frey procedure in pediatric patients.

Purpose of the Study:

  • To evaluate the efficacy of the Frey procedure in managing pediatric chronic pancreatitis.
  • To assess the Frey procedure's role in preventing recurrent disease in the pancreatic head.
  • To compare outcomes between LPJ and Frey procedures in children.

Main Methods:

  • Retrospective chart review of pediatric patients undergoing drainage or resection for chronic pancreatitis (1995-2002).
  • Analysis of patients who underwent either LPJ (3) or Frey (8) procedures.
  • Assessment of clinical outcomes and follow-up data.

Main Results:

  • Eleven children (ages 8-18) were treated with LPJ or Frey procedures.
  • Diverse etiologies included idiopathic, familial, and congenital anomalies.
  • Eight of eleven patients achieved excellent or good outcomes post-surgery, with an average follow-up of 4.6 years.

Conclusions:

  • The Frey procedure is a viable and effective option for pediatric chronic pancreatitis unresponsive to conservative care.
  • It demonstrates potential in preventing recurrent pancreatic head disease in children.
  • Surgical intervention, including the Frey procedure, can yield positive outcomes in pediatric chronic pancreatitis.
Abstract

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