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The tissue removed during a pancreaticoduodenectomy Whipple surgery. The most common technique of a pancreaticoduodenectomy consists of the en bloc removal of the distal segment (antrum) of the stomach, the first and second portions of the duodenum, the head of the pancreas, the common bile duct, and the gallbladder.
A bowel resection or enterectomy (enter-+ -ectomy) is a surgical procedure in which a part of an intestine (bowel) is removed, from either the small intestine or large intestine. Often the word enterectomy is reserved for the sense of small bowel resection, in distinction from colectomy, which covers the sense of large bowel resection.
Stump blow-out, or duodenal blow-out, is the leakage of the blind end of the duodenum. [1] It occurs as a complication of Billroth II gastrectomy, usually on the fourth or fifth day after surgery. It is due to improper closure of duodenal stump, especially when the duodenum is inflamed and oedematous.
A gastroenterologist carefully feeds the endoscope down the esophagus and into the stomach and duodenum. A small camera mounted on the endoscope transmits a video image to a monitor, allowing close examination of the intestinal lining. An upper GI series examines the small intestine. During the procedure, the person will stand or sit in front ...
For severe duodenal ulcers, it may be necessary to remove the lower portion of the stomach and the upper portion of the small intestine. If there is a sufficient portion of the upper duodenum remaining, a Billroth I procedure is performed, where the remaining portion of the stomach is reattached to the duodenum before the common bile duct.
The small intestine is involved in both the absorption and digestion of nutrients, whereas the large intestine is responsible for the elimination of wastes . The small intestine consists of 3 parts: duodenum, jejunum and ileum. [3] The duodenum is the first part of the small intestine and is connected to the stomach via the pyloric valve. The ...
The actual resection starts with the cutting of the duodenum between holding or guy sutures. [9] The duodenum is temporarily closed with a sponge; the resection borders of the stomach are then determined. [9] A sewing instrument facilitates the final step of stomach removal. [9] The incision follows at an angle of 45 degrees to the lesser ...
In total pancreatectomy, the gallbladder, distal stomach, a portion of the small intestine, associated lymph nodes and in certain cases the spleen are removed in addition to the entire pancreas. [1] In recent years, the TP-IAT (Total Pancreatectomy with Islet Autotransplantation [2] [3]) has also gained respectable traction within the medical ...