title: Frey procedure for chronic pancreatitis in children: A single center experience.
abstract: BACKGROUND
  There is paucity of literature regarding the Frey procedure for children with chronic pancreatitis. The purpose of this study is to present our experience with the Frey procedure in children.
  
  
  METHODS
  This is an observational retrospective review study. All children, who underwent a Frey procedure between August 2007 and May 2014 in the Department of Surgical Gastroenterology, Institute of Postgraduate Medical Education and Research, Kolkata, India were included in this study.
  
  
  RESULTS
  Twenty four children were included in our study. There were 13 girls and 11 boys. Mean age at operation was 13.95years (range, 4 to 18years). Mean duration between the diagnosis of chronic pancreatitis and surgery was 4.41years (range, 1 to 14years). Frey procedure was performed after failure of medical or endoscopic therapy. Mean duration of operation and blood loss were 215minutes (range, 150-300minutes) and 177ml (range, 50 to 500ml) respectively. Average postoperative hospital stay was 8days (range, 5 to 16days). Five patients (21%) developed postoperative complications. There was no in hospital mortality and no patient required reoperation for postoperative complications. More than a median follow-up of 29months (range, 3-78months), 91% of the patients remained pain free.
  
  
  CONCLUSIONS
  Frey procedure is safe and feasible in children with acceptable perioperative complications and good short-term pain control.
authors: Division of Surgical Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, Kolkata, 700020, West Bengal, India. Electronic address: drsukantaray@yahoo.co.in.
authors: Sukanta
authors: S
authors: Ray
authors: Division of Surgical Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, Kolkata, 700020, West Bengal, India. Electronic address: drsumit73@gmail.com.
authors: Sumit
authors: S
authors: Sanyal
authors: Division of Surgical Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, Kolkata, 700020, West Bengal, India. Electronic address: drsupriyo@yahoo.co.in.
authors: Supriyo
authors: S
authors: Ghatak
authors: Division of Surgical Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, Kolkata, 700020, West Bengal, India. Electronic address: skpapam@rediffmail.com.
authors: Sujan
authors: S
authors: Khamrui
authors: Division of Surgical Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, Kolkata, 700020, West Bengal, India. Electronic address: jay.gs.2014@gmail.com.
authors: Jayanta
authors: J
authors: Biswas
authors: Division of Surgical Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, Kolkata, 700020, West Bengal, India. Electronic address: lsuman.cmc@gmail.com.
authors: Suman
authors: S
authors: Saha
authors: Division of Surgical Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, Kolkata, 700020, West Bengal, India. Electronic address: drtuhin.subhra@gmail.com.
authors: Tuhin Subhra
authors: TS
authors: Mandal
authors: Division of Surgical Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, Kolkata, 700020, West Bengal, India. Electronic address: gautam.surgicalgastro@yahoo.co.in.
authors: Gautam
authors: G
authors: Chattopadhyay
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007194:India; D007902:Length of Stay; D008297:Male; D059408:Pain Management; D010179:Pancreas / Q000601:surgery*; D010183:Pancreatic Ducts / Q000601:surgery*; D016577:Pancreaticoduodenectomy; D010193:Pancreaticojejunostomy / Q000379:methods*; D050500:Pancreatitis, Chronic / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D012086:Reoperation; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome
keywords: Chronic pancreatitis; Frey procedure; Modified Puestow procedure