[Accidental papillary disinsertions during gastroduodenectomies. Report of two cases (author's transl)]

This is a report of two accidental papillary disinsertions. The first had a good result up to 23 years after a duodenal reimplantation. The second, referred from elsewhere was reimplanted in a pediculated intestinal segment interposed between the papilla and the afferent loop of the gastrectomy : the result ten years after is favorable. The authors stress the difficulty of recognizing an unexpected disinsertion and insist on the necessity of an early reoperation. Despite the optimism of some statistics there are serious operative complications. The best prevention in the surgical treatment of low situated duodenal ulcers remains a vagotomy associated to a gastric suction.