Pancreas-Preserving Approach to “Paraduodenal Pancreatitis” Treatment: Why, When, and How? Experience of Treatment of 62 Patients with Duodenal Dystrophy
Figure 16
Duodenal dystrophy with moderate chronic orthotopic pancreatitis. Patient, 32 y.o. Arterial phase of multidetector computed tomography before (a) and 6 months after (b) the pancreas-preserving resection of the second portion of the duodenum with the jejunal interposition. (a) There is a septated cystic structure (thin arrow) in the medial duodenal wall with prominent inflammation and fibrosis around the duodenum and pancreatic head (thick arrow). (b) Neoduodenum (thin arrow) and pancreatic head (thick arrow) without signs of inflammation or fibrosis.
