Pancreaticoduodenectomy after distal gastrectomy: A case series

•We describe the PD strategies we used in three patients who strategy for three patients who had previously undergone distal gastrectomy for gastric cancer treatment.•PD after gastrectomy requires more attention during surgery than ordinary PD due to anatomical variation with different types of gastrointestinal anastomoses, the complication of anatomical dissection, and the extent of adhesions present, so the optimal method for reconstruction after PD should be considered on a case-by-case basis.