Frey procedure for chronic pancreatitis in children: A single center experience

Ray, Sukanta; Sanyal, Sumit; Ghatak, Soumya; Khamrui, Sujan; Biswas, Jayanta Kumar; Saha, Suman; Mandal, Tuhin Subhra; Chattopadhyay, Gautam

doi:10.1016/j.jpedsurg.2015.07.012

Cited by 13 publications

(15 citation statements)

References 19 publications

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“…В исследовании Ray Sи соавт. [68] проанализирован опыт применения операции Frey у детей с хроничеким панкреатитом. Периоперационная летальность была нулевой, осложнения возникали в 21% случаев.…”

Section: хирургическое лечение панкреатитов у детейunclassified

“…[77] из 17 детей в возрасте 3-8 лет, большинство из которых с наследственным панкреатитом, после проведенной ТПИАТ 82% достигли инсулиновой независимости, все пациенты отказались от приёма наркотичеких анальгетиков, что в конечном счете привело к снижению госпитализаций в разы. Описан двухэтапный подход к ведению пациентов с хроническим панкретатитом -активная тактика, включающая ограниченное проведение эндоскопических вмешательств с последующим оперативным лечением с учетом анатомических аномалий и генных мутаций, эффективна для обеспечения долгосрочного купирования боли и сохранения функций поджелудочной железы [68]. В этом исследовании предшествующая хирургическая процедура или > 5 эндоскопических манипуляций были связаны с более низкой вероятностью облегчения боли.…”

Section: хирургическое лечение панкреатитов у детейunclassified

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Chronic pancreatitis in children: between gastroenterologist and surgeon

Кулевич

Разумовский

Smirnov

et al. 2020

jour

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The pancreas is an organ that plays a key role in the digestive process, preparing food ingredients such as proteins, fats and carbohydrates for adequate absorption in the small intestine. Today, a wide range of pathological conditions is known in which the tissue of the pancreas is affected and its functions are lost. The literature review examined various diseases that phenotypically manifest as pancreatitis, as well as various diagnostic and therapeutic strategies.

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Section: хирургическое лечение панкреатитов у детейunclassified

Chronic pancreatitis in children: between gastroenterologist and surgeon

Кулевич

Разумовский

Smirnov

et al. 2020

jour

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“…The most upsetting signs and symptoms of CP are acute bouts of stomach discomfort that are frequently accompanied by anorexia, nausea, and vomiting. 1,2 In youngsters, this often results in addiction to pain medication, dietary restrictions, and absences from school, and considerable quality of life impairment. 1 The most typical indication of surgical intervention in CP is unyielding pain and suspicion of malignancy and failure of other methods such as conservative or endoscopic management.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 In youngsters, this often results in addiction to pain medication, dietary restrictions, and absences from school, and considerable quality of life impairment. 1 The most typical indication of surgical intervention in CP is unyielding pain and suspicion of malignancy and failure of other methods such as conservative or endoscopic management. Other surgical indications are pancreatic pseudocyst, pseudoaneurysm of peripancreatic vessels, biliary stricture, and splenic vein thrombosis with left-sided portal hypertension.…”

Section: Introductionmentioning

confidence: 99%

“…Other surgical indications are pancreatic pseudocyst, pseudoaneurysm of peripancreatic vessels, biliary stricture, and splenic vein thrombosis with left-sided portal hypertension. 1,2 The fundamental goal of surgical interventions is ductal decompression and drainage to reduce the pressure in the main pancreatic duct (MPD) caused by pancreatic inflammation, thus decreasing the abdominal pain caused by it in CP. 2 Due to the short surgical time and lesser complications, Frey's procedure is the preferred surgical approach Frey's Procedure for Chronic Pancreatitis in an Adolescent with Recurrent Upper Gastrointestinal Bleeding: A Case Report for CP in adults.…”

Section: Introductionmentioning

confidence: 99%

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Frey’s Procedure for Chronic Pancreatitis in an Adolescent with Recurrent Upper Gastrointestinal Bleeding: A Case Report

Nugroho

Widodo

Jamtani

et al. 2022

Korean J Pancreas Biliary Tract

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Chronic fibroinflammatory pancreatitis causes irreparable damage to the pancreatic parenchyma. This frequently results in food restrictions, painkiller addiction, and serious quality of life impairment in children. We observed a 13-year-old girl who had previously been hospitalized multiple times and had undergone acute pancreatitis arrived with excruciating abdominal pain and recurrent hematemesis. A chronic intra-pseudocyst bleed and an ampulla of Vater hemorrhage were discovered during an upper gastrointestinal endoscopy. A 3×2×1 cm pancreatic head pseudocyst was discovered on the magnetic resonance cholangiopancreatography, however the computed tomography scan revealed a pancreatic head pseudocyst, pancreatic duct stones, and substantial peripancreatic inflammation. The multidisciplinary team determined that Frey’s surgery was the most efficient method to minimize her suffering. No complications occurred during the healing phase following surgery, and two years later, neither recurrence bleeding nor abdominal pain appeared. In summary, Frey’s method is a secure and efficient intervention when applied by a multidisciplinary team.

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Pancreatitis in cystic fibrosis: Presentation, medical and surgical management, and the impact of modulator therapies

Milano,

Morneault‐Gill,

Kamal

et al. 2024

Pediatric Pulmonology

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Patients with Cystic Fibrosis (CF) are at increased risk of acute (AP) and chronic (CP) pancreatitis, and their complications. The extent of remaining healthy pancreatic parenchyma determines the risk of developing future episodes of pancreatitis, as well as pancreatic exocrine or endocrine insufficiency. Pancreatitis may be the presenting symptom of CF, and genetic testing is especially important in pediatrics. AP and recurrent AP are managed with intravenous fluid hydration and pain control, in addition to early refeeding and treatment of complications. With the use of modulator therapy in CF, pancreatic function may be restored to some extent. CP related pain is managed with analgesics and neuromodulators, with surgery if indicated in specific situations including TPIAT as a possible type of surgical intervention. Long‐term sequelae of CP in patients with CF include exocrine pancreatic insufficiency treated with pancreatic enzyme replacement therapy, fat‐soluble vitamin deficiencies and associated metabolic complications such as bone disease/osteoporosis, pancreatogenic diabetes, and less commonly, pancreatic cancer. We review the presentation and etiologies of pancreatitis in CF patients as well as the management of AP and CP primarily in children.

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Frey procedure for chronic pancreatitis in children: A single center experience

Cited by 13 publications

References 19 publications

Chronic pancreatitis in children: between gastroenterologist and surgeon

Chronic pancreatitis in children: between gastroenterologist and surgeon

Frey’s Procedure for Chronic Pancreatitis in an Adolescent with Recurrent Upper Gastrointestinal Bleeding: A Case Report

Pancreatitis in cystic fibrosis: Presentation, medical and surgical management, and the impact of modulator therapies

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