Reoperation for Recurrent Pancreatitis After Frey’s Procedure was Performed in a Child

DOI Web Site
  • Fujii Shunsuke
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Masumoto Kouji
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Urita Yasuhisa
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Ono Kentaro
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Sasaki Takato
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Gotoh Chikashi
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Shinkai Toko
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Takayasu Hajime
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Tanaka Hideaki
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba

Bibliographic Information

Other Title
  • 小児期に施行したFrey手術後の膵炎再燃により再手術を施行した1例
  • 症例報告 小児期に施行したFrey手術後の膵炎再燃により再手術を施行した1例
  • ショウレイ ホウコク ショウニキ ニ シコウ シタ Frey シュジュツゴ ノ スイエン サイネン ニ ヨリ サイシュジュツ オ シコウ シタ 1レイ

Search this article

Abstract

Longitudinal pancreaticojejunostomy with coring out of the pancreatic head (Frey’s procedure) has been known to be a safe and effective method for chronic pancreatitis. We report the case of a patient who underwent reoperative surgery for recurrent pancreatitis after Frey’s procedure was performed when he was a child. A Japanese 19-year-old male had been experiencing a recurrent epigastric pain associated with chronic pancreatitis since he was 8 years of age, and he underwent Frey’s procedure at the age of 11.Three years later, he relapsed with inflammation in the pancreatic tail and required distal pancreatectomy. Because of severe adhesion around the pancreatic tail, it was impossible to preserve the spleen. In the postoperative course, he had complications, such as pancreatic fistula and adhesive ileus. Therefore, further operations were required for such complications. Although Frey’s procedure is known to be effective for children, we need to take more precaution in order to avoid reoperations due to recurrent pancreatitis.

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top