title: Pancreas-preserving duodenal resections with bile and pancreatic duct replantation for duodenal dystrophy. Two case reports.
abstract: BACKGROUND
  Duodenal dystrophy is a rare disease, characterized by the chronic inflammation of the aberrant pancreatic tissue in the duodenal wall.
  
  
  METHODS
  Two middle-aged men were admitted with upper abdominal pain of several months duration, periodic nausea and vomiting after meals, intermittent jaundice and weight loss. A diagnosis of cystic dystrophy of the vertical part of the duodenum without chronic inflammation of the orthotopic pancreas was established in both cases by multi-detector computed tomography, magnetic resonance imaging and endosonography. Both patients were successfully treated by two modifications of pancreas-preserving duodenal resections with reimplantation of the bile and pancreatic ducts into the neoduodenum.
  
  
  CONCLUSIONS
  These cases are a good example of a pancreas-preserving approach to duodenal dystrophy treatment and can be an alternative to the Whipple procedure in cases of mild changes of the orthotopic gland.
authors.affiliation: The Vishnevsky Institute of Surgery, Moscow, Russia. v.egorov61@gmail.com
authors.forename: Viacheslav Ivanovich
authors.initials: VI
authors.lastname: Egorov
authors.forename: Alexander Cezarevich
authors.initials: AC
authors.lastname: Butkevich
authors.forename: Alexander Viacheslavovich
authors.initials: AV
authors.lastname: Sazhin
authors.forename: Nina Ivanovna
authors.initials: NI
authors.lastname: Yashina
authors.forename: Sergei Nikolaievich
authors.initials: SN
authors.lastname: Bogdanov
mesh_terms: D000328:Adult; D001652:Bile Ducts / Q000601:surgery / Q000637:transplantation*; D004378:Duodenal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D004384:Duodenoscopy; D004386:Duodenum / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D008954:Models, Biological; D010179:Pancreas / Q000000981:diagnostic imaging / Q000473:pathology; D010182:Pancreatic Diseases / Q000517:prevention & control; D010183:Pancreatic Ducts / Q000601:surgery / Q000637:transplantation*; D014057:Tomography, X-Ray Computed; D014182:Transplantation, Autologous; D014463:Ultrasonography