Duodenopancreatectomy for Gastric Cancer

Duodenopancreatectomy for gastric cancer is a well recognized surgical procedure essentially motivated by the need for a radical approach in cases of neoplasms infiltrating the head of the pancreas [1–3]. Despite the indications of various Japanese authors [4] we believe that total gastrectomy should be associated with duodenopancreatectomy [5] with the aim of achieving a R3 resection [6–9]. Nevertheless some clinical situations do require duodenopancreatectomy not only for oncological reasons. The following case report represents such a problem.