Frey Procedure Using Double Roux-en-Y Technique for Chronic Pancreatitis Due to Postoperative Congenital Biliary Dilatation

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  • Yano Keisuke
    Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University
  • Kawano Takafumi
    Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University
  • Yamada Koji
    Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University
  • Nakame Kazuhiko
    Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University
  • Mukai Motoi
    Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University
  • Kaji Tatsuru
    Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University
  • Ieiri Satoshi
    Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University

Bibliographic Information

Other Title
  • 胆道拡張症術後の膵石合併慢性膵炎に対してDouble Roux-en-Yを用いたFrey手術が奏効した1例
  • 症例報告 胆道拡張症術後の膵石合併慢性膵炎に対してDouble Roux-en-Yを用いたFrey手術が奏効した1例
  • ショウレイ ホウコク タンドウ カクチョウショウ ジュツゴ ノ スイセキ ガッペイ マンセイスイエン ニ タイシテ Double Roux-en-Y オ モチイタ Frey シュジュツ ガ ソウコウ シタ 1レイ

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Abstract

<p>We report the case of a 20-year-old female patient who underwent the Frey procedure using the double Roux-en-Y technique for chronic pancreatitis and postoperative complications after hepaticojejunostomy for congenital biliary dilation (CBD). She underwent laparoscopic cholecystectomy owing to the idiopathic perforation of the gallbladder at 4 years of age and hepaticojejunostomy for CBD at 7 years of age. However, she previously experienced repeated episodes of acute pancreatitis despite no clear evidence of pancreas divisum on ERP or MRCP. Endoscopic sphincterotomy and stent insertion did not improve her symptoms. Enhanced CT revealed chronic pancreatitis with stone formation and the dilatation of the distal pancreatic duct at 19 years of age. The pancreatic calculus was removed and the Frey procedure using the double Roux-en-Y technique was performed to treat her chronic pancreatitis. Her abdominal symptoms improved after surgery. Surgery should be selected for patients with chronic pancreatitis with pancreatic calculus and who respond poorly to conservative management. The Frey procedure using the double Roux-en-Y technique is a safe and effective intervention for chronic pancreatitis in patients with postoperative CBD.</p>

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