77 year old female patient. Past medical History: gastroduodenal ulcers, multiple episodes of melena, and dysphagia for solid foods. Surgical Operation: Robotic subtotal gastrectomy. During the dissection phase, the liberation of the duodenum was difficult due to the dense adhesions to the pancreas. The pylorus proximal to the ulcer has been divided, the duodenal mucosa and the ulcer was visualized, further duodenum dissection and posterior transection. An omental patch was fashioned on top of the duodenal stump. Reconstructive phase, a Roux-en-Y was performed and a latero-lateral anastomosis between the remaining gastric pouch and the jejunal limb was fashioned with a linear stapler. Gastrotomy and enterotomy closure with two 3-0 PDS running sutures. Uneventful postoperatory course. Discharge on postoperatory day 3. Follow up in clinic 6 days post op: patient asymptomatic.