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The Whipple Procedure (Pancreas)

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Okay, so before we proceed further, uh,

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we need to know how, how the whipple procedure

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looks on MR and what exactly the procedure is.

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So whipple procedure is the most common

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procedure done for the pancreatic head

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masses and that involves three anastomosis.

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Basically, one anastomosis involves the

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pancreatic, residual pancreas with the

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jejunum, that is pancreatic or jejunostomy.

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The second is jejunum with the hepatic

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duct, that is called as hepaticojejunostomy.

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And the third one is gastrojejunostomy

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where we anastomose, the distal portion

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of jejunum, uh, with the stomach lumen.

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It can happen that some of the people

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try to save the pylorus in some of the

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patients, and for the pyloric saving

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surgeries, that will be jejunojejunostomy.

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So we should be aware of, there are three

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anastomosis we are going to look for in the

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whipple procedure, and because the recurrences

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can occur any of these locations, specifically

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pancreaticojejunostomy or hepaticojejunostomy.

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These are the sites where

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most of the recurrences occur.

Report

Faculty

Neeraj Lalwani, MD, FSAR, DABR

Professor and Chief of Abdominal Radiology

Montefiore Medical Center, New York

Tags

Pancreas

Neoplastic

MRI

Iatrogenic

Body

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