Pancreas-Preserving Approach to “Paraduodenal Pancreatitis” Treatment: Why, When, and How? Experience of Treatment of 62 Patients with Duodenal Dystrophy
Figure 14
Endosonography. Duodenal dystrophy with moderate chronic orthotopic pancreatitis. (a) Patient 32 y.o. Ovoid septated cystic structure in the submucosa and muscularis of the diffusely thickened duodenal wall (arrow); (b) patient 43 y.o. Large septated multiloculated cyst in the submucosa and muscularis of the diffusely thickened duodenal wall (arrow). (c) Male 57 y.o. Isolated form of the duodenal dystrophy with unchanged orthotopic pancreas. Septated cystic structure (three arrows) in the submucosa and muscularis of the diffusely thickened duodenal wall (two arrows); (d) male, 57 y.o. Isolated form of the duodenal dystrophy with unchanged orthotopic pancreas. Septated cysts in the submucosa and muscularis of the diffusely thickened duodenal wall surround the major papilla.
