Pancreas-Preserving Approach to “Paraduodenal Pancreatitis” Treatment: Why, When, and How? Experience of Treatment of 62 Patients with Duodenal Dystrophy
Figure 1
Isolated form of the duodenal dystrophy (DD). Male, 57 y.o. Itraoperative photo. (a) Front view. Kocher’s maneuver is completed. Deformation, hyperemia, and thickening of the medial duodenal wall with infiltrated fibrotic tissues around the duodenum (D). The gastroduodenal artery (GDA) is shifted forward and medially, lying in the groove between the unchanged pancreatic head (P) and affected duodenal wall. (b) Back view. Extensive Kocher’s maneuver is completed. The duodenum and pancreatic head (P) look like inseparable monolith due to prominent fibrosis around the second portion of the duodenum (D). Col—transverse colon, Py—pylorus.
