Pancreas sparing duodenectomy and a proposal of a new technique for duodenum reconstruction with a pedicled ileal loop

We present a new technique of duodenal reconstruction in selected cases of superficial epithelial tumors and gastrointestinal stromal tumor [GIST] of the duodenum thus avoiding the usual pancreaticoduodenectomy. Two cases of pancreas sparing duodenectomy were performed; one for severe dysplasia and adenoma and another for GIST. The duodenal reconstruction was done with a pedicled loop of ileum. Pancreas sparing duodenectomy is a safe procedure and could be a surgical option in selected cases of non-invasive tumors of duodenum