Pancreas-Preserving Approach to “Paraduodenal Pancreatitis” Treatment: Why, When, and How? Experience of Treatment of 62 Patients with Duodenal Dystrophy
Figure 4
Duodenal dystrophy with moderate chronic orthotopic pancreatitis. Patient, 43 y.o. Scheme of the pancreas-preserving subtotal duodenectomy: (a) The parts of the duodenum to be removed are shown in black; (b) completion of the procedure by replantation of pancreatic and common bile ducts into the jejunum 1–1.5 cm below the duodenojejunoanastomosis; (c) patient 49 y.o. Variant of the completion of the pancreas-preserving subtotal duodenectomy with distal gastrectomy by Roux-en-Y reconstruction in case of stomach involvement or peptic ulcer.
