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Invited Commentary
November 2013

The Frey Procedure Is a Treatment for Chronic Pancreatitis, Not Pancreas Divisum

Author Affiliations
  • 1Department of Surgery, Institute for HepatoBiliary and Pancreatic Surgery, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts
  • 2Department of Medicine, Institute for HepatoBiliary and Pancreatic Surgery, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts
JAMA Surg. 2013;148(11):1062. doi:10.1001/jamasurg.2013.3753

In this issue, Pappas et al1 report outcomes of duodenum-preserving pancreatic head resection and longitudinal pancreaticojejunostomy (Frey procedure) for painful chronic pancreatitis associated with pancreas divisum. In the context of a small case series, the outcomes of the Frey procedure appear similar to the comparison group of patients with alcoholic and idiopathic chronic pancreatitis as well as to long-term outcomes from a randomized trial of surgical treatment for chronic pancreatitis.2

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