Factors affecting outcome after Frey procedure for chronic pancreatitis

Amudhan, A.; Balachandar, Tirupporur Govindaswamy; Kannan, Devy Gounder; Rajarathinam, Govindhasamy; Velayutham, Vimalraj; Rajendran, Senthilkumar; Ravichandran, Palanisamy; Sathyanesan, Jeswanth; Surendran, Rajagopal

doi:10.1080/13651820802392338

Cited by 22 publications

(9 citation statements)

References 32 publications

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“…However, there were no major complications in our institution. Another study concluded that patients with pancreatic stenting before operation had higher rates of postoperative pancreatic fistula than patients with nonpancreatic stenting [27]. In our case, previous pancreatic stenting did not increase the risk of pancreatic fistula.…”

Section: Discussionsupporting

confidence: 44%

Frey's procedure for chronic pancreatitis: a 10-year single-center experience in Korea

et al. 2019

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PurposeChronic pancreatitis (CP) is progressive inflammatory disease that leads to irreversible destruction of the pancreatic parenchyma. The main indications for surgical intervention in cases involving CP are intractable pain, suspicion of malignancy, and failure of other methods. However, there is no report related to Frey's procedure in Korea; hence, we aimed to investigate and analyze our institution's experience and determine the benefits of surgical treatment for CP.MethodsThis was a retrospective study of 24 patients with CP who underwent Frey's procedure at Gangnam Severance Yonsei University between January 2007 and December 2017. Preoperative exocrine and endocrine pancreatic function, perioperative finding (blood loss, operation time), postoperative complications were evaluated. Statistical analytics were chi-square test, Fisher exact tests, and Wilcoxon signed-rank test and Mann-Whitney U-test.ResultsSurgery was performed due to alcohol-derived CP in 12 of 24 patients (50%) and due to pancreatic stones in 15 of 24 patients (62.5%). Two patients had postoperative complications which were managed conservatively. After surgery, 7 of 24 patients were prescribed with exocrine medication. Comparison of the preoperative and postoperative conditions showed that glycated hemoglobin had no significant differences. After surgery, only 5 patients (21%) complained of intermittent abdominal pain.ConclusionIn conclusion, Frey's procedure appears to be a less burdensome surgical procedure. Thus, it could be the first option for management of patients with large pancreatic stone.

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Section: Discussionsupporting

confidence: 44%

Frey's procedure for chronic pancreatitis: a 10-year single-center experience in Korea

et al. 2019

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“…The most frequent [4,5,7,8,10,14,16,18,22]. The median or mean increase of body weight ranged from 0.99 to 7.8 (median ¼ 5.6) kg (n ¼ 264) [4,5,7,11,14,16,18,19,22,28]. Eighty-five (17.3%) of 492 patients and 89 (30.7%) of 290 developed new onset diabetes [4e11, 14,16,18e28] and new onset exocrine insufficiency [4,5,7,8,14,16,18e23,26] respectively.…”

Section: Systematic Reviewmentioning

confidence: 99%

Frey procedure for chronic pancreatitis: Evidence-based assessment of short- and long-term results in comparison to pancreatoduodenectomy and Beger procedure: A meta-analysis

Zhou

Shi

et al. 2015

Pancreatology

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“…In comparison with Beger's procedure, Frey's pancreaticojejunostomy is easier to perform and has low surgical risk. [4–6]…”

Section: Introductionmentioning

confidence: 99%

Risk factors for pain after Frey's procedure in chronic pancreatitis

Tan²,

Tian³

2017

Medicine

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Pancreatic pain is the most frequent symptom of chronic pancreatitis (CP) and is difficult to treat. This retrospective study aimed to determine the risk factors for pain in CP.From January 2009 and March 2014, 75 consecutive patients with CP who underwent Frey's procedure were reviewed for this study. According to Izbicki pain scores, these patients were divided into 2 groups: (1) pain (Izbicki pain score of >10 after a decrease of >50%) and (2) pain-free (Izbicki pain score of ≤10). Demographic data, medical history, postoperative variables, and follow-up evaluations of the patients were documented.The postoperative pain score (11.8) was significantly lower than the preoperative score (51.8) after a median follow-up of 4.2 years. Alcoholism (odds ratio [OR] 7.767, P = .002) and preoperative analgesic medication use (OR 4.113, P = .030) were independent risk factors for pain.Frey's procedure is an effective operation for pain relief in patients with CP. Alcoholism and preoperative analgesic medication use were 2 factors for failure to achieve complete pain relief.

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Factors affecting outcome after Frey procedure for chronic pancreatitis

Cited by 22 publications

References 32 publications

Frey's procedure for chronic pancreatitis: a 10-year single-center experience in Korea

Frey's procedure for chronic pancreatitis: a 10-year single-center experience in Korea

Frey procedure for chronic pancreatitis: Evidence-based assessment of short- and long-term results in comparison to pancreatoduodenectomy and Beger procedure: A meta-analysis

Risk factors for pain after Frey's procedure in chronic pancreatitis

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