Abstract Background: Pancreatico-jejunostomy strictures (PJS) after pancreatiocoduodenectomy (PD) are poorly understood. Methods: Patients treated for PJS were identified from all PDs (n= 357) performed for all indications in our practice (2002 to 2009). Technical aspects of the original operation, as well as the presentation, management and outcomes of the resultant stricture were assessed. Results: Seven patients developed a symptomatic PJS for an incidence of 2%. 'Soft' glands and small ducts (
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