A queda da press?o poral aps desvasculariza??o partial distal duodenectomy in patient with adenocarcinoma

BACKGROUND: Duodenal adenocarcinoma is a small percentage of gastrointestinal variation of variceal calibers and the rebleeding rates in schistosomiasis neoplasms, around 0.5%, and its treatment is based on resection of the tumor, classically by pancreaticoduodenectomy. In recent years, however, segmental resections of duodenal lesions, that do not involve the second portion or the periampullary region, have gained relevance with good surgical and oncological outcomes as well as the benefit of avoiding surgeries that can result in Walterhigh demorbidityBiaseand mortality.SILVA-NETO1AIMS: To , report a case Claudemiro of an elderly QUIRESE1 female patient, withEduardomalignantGu Fabricio Ferreira COELHO3, Paulo HERMAN3 neoplastic lesion in the third and fourth duodenal portion, non-obstructive, submitted to surgical treatment. METHODS: The technical option was the resection of the distal duodenum and proximal jejunum with preservation of the pancreas and reconstruction with side-to-side duodenojejunal anastomosis. RESULTS: The evolution was satisfactory and the surgical margins were free of RESUMO - Racional: tratamento de escolha para pacientes com hipertensao portal neoplasia. CONCLUSIO NS: Segmental resections of the duodenum are feasible and safe, offering e a mais the benefit of preventing complications of pancreaticoduodenectomies.