Pancreas-Preserving Approach to “Paraduodenal Pancreatitis” Treatment: Why, When, and How? Experience of Treatment of 62 Patients with Duodenal Dystrophy
Figure 18
Duodenal dystrophy with moderate chronic orthotopic pancreatitis. Patient, 35 y.o. Magnetic resonance cholangiopancreatography; (a) a septated cyst is located in the medial wall of the second part of the duodenum (thick arrows) causing stenosis of the terminal parts of the common and the main pancreatic ducts with subsequent biliary and pancreatic hypertension; (b) 6 months after the pancreas-preserving resection of the second portion of the duodenum with the jejunal interposition (arrow). Narrowing of the pancreatic and common bile ducts after surgery.
