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.