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Eur J Pediatr Surg 2010; 20(1): 45-47
DOI: 10.1055/s-0029-1202249
Original Article

© Georg Thieme Verlag KG Stuttgart · New York

Frey Procedure for Chronic Pancreatitis in a Child with Duodenal Atresia and Complex Pancreaticobiliary Disorders

H. Okuyama 1 , A. Kubota 2 , H. Kawahara 2 , Y. Shimizu 1 , T. Watanabe 2 , H. Yamanaka 3 , G. Tani 3 , Y. Takeyama 4
  • 1Department of Pediatric Surgery, Hyogo College of Medicine, Hyogo, Japan
  • 2Department of Pediatric Surgery, Osaka Medical Center for Maternal and Child Health, Izumi, Japan
  • 3Division of Pediatric Surgery,Osaka University Graduate School of Medicine, Suita, Japan
  • 4Department of Surgery, Kinki University School of Medicine, Oosaka Sayama, Japan
Further Information

Publication History

received August 16, 2008

accepted after revision December 10, 2008

Publication Date:
03 April 2009 (online)

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Abstract

A boy aged 2 years and 7 months who had undergone duodeno-duodenostomy for duodenal atresia and annular pancreas in the neonatal period presented with recurrent pancreatitis. ERCP showed an incomplete pancreas divisum associated with pancreaticobiliary maljunction. At 3 years and 8 months of age, we performed a Frey procedure in combination with total excision of the extrahepatic bile duct. The main pancreatic duct was opened in the body and the head was cored out anteriorly. The pancreaticobiliary system was reconstructed with a Roux-en-Y anastomosis. The patient has been free from symptoms with excellent weight gain in the follow-up period of 20 months. The Frey procedure can be a safe and effective operation in children with chronic pancreatitis caused by complex pancreatobiliary disorders associated with duodenal atresia.

Key words

chronic pancreatitis - pancreas divisum - pancreaticobiliary maljunction - Frey procedure - children

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Correspondence

Dr. H. Okuyama

Hyogo College of Medicine

Pediatric Surgery

1-1

Mukogawa-cho

Nishinomiya

663-8501 Hyogo

Japan

Phone: 81/798/45 65 82

Fax: 81/798/45 65 81

Email: okuyama@hyo-med.ac.jp