Extra‐pancreatic end‐to‐side hepaticojejunostomy: a practical modification of the duodenum‐preserving pancreatic head resection (DPPHR) for chronic pancreatitis

BackgroundDuodenum‐preserving pancreatic head resection (DPPHR) is recognised for the surgical treatment of chronic pancreatitis. Approximately 15–20% of patients undergoing DPPHR require a synchronous biliary drainage procedure for stricture.Methods and resultsThis report describes a technical modification involving the placement of an extra‐pancreatic end‐to‐side Roux hepaticojejunostomy utilising the same jejunal loop employed for pancreaticojejunal anastomosis.DiscussionExtra‐pancreatic end‐side hepaticojejunostomy is a simple technical modification of DPPHR. The biliary anastomosis is constructed according to the well‐established principles of biliary reconstruction and represents a safe and valuable technical option