Pancreas-Preserving Approach to “Paraduodenal Pancreatitis” Treatment: Why, When, and How? Experience of Treatment of 62 Patients with Duodenal Dystrophy

Table 4

Results of surgery for duodenal dystrophy.

Procedure	Number	Morbidity	Full symptoms elimination	Steatorrhea	New diabetes mellitus
PD + Nakao	29	5 (17%)	23 (79%)	4 (14%)	3 (10%)
DPPHR	5	3	2	—	—
Internal drainage	8	2	2	1	1
Pancreas-preserving duodenal resections (PPDR)
With direct duodeno-duodenoanastomosis	4	2	3	—	—
Subtotal duodenectomy	3	—	3	—	—
With intestinal interposition	2	1	2	—	—
Distal gastrectomy	1	—	1	—	—
All PPDRs	10	3	9	—	—

PD: pancreaticoduodenectomy, Nakao: Nakao procedure, DPPHR: duodenum-preserving pancreatic head resection.