Abstract
Background: A pancreas sparing duodenectomy (PSD) consists of full thickness resection of the entire duodenum including the ampulla of Vater. The proximal jejunum is advanced to reconstruct a single biliary-pancreatic orifice and re-establish gastrointestinal continuity with pyloro-jejunostomy. First described in 1995 in Cleveland, Ohio for advanced duodenal polyposis in familial adenomatous polyposis that remains the most common indication, with expanding indications such as sporadic villous adenomas and gastrointestinal stromal tumor. The aim of this case series is to present additional unique indications for PSD as a novel solution in patients with complex surgical conditions.
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