The Whipple Procedure (Pancreas)
HIDEInteractive Transcript
0:00
Okay, so before we proceed further, uh,
0:03
we need to know how, how the whipple procedure
0:06
looks on MR and what exactly the procedure is.
0:08
So whipple procedure is the most common
0:10
procedure done for the pancreatic head
0:12
masses and that involves three anastomosis.
0:15
Basically, one anastomosis involves the
0:17
pancreatic, residual pancreas with the
0:19
jejunum, that is pancreatic or jejunostomy.
0:21
The second is jejunum with the hepatic
0:23
duct, that is called as hepaticojejunostomy.
0:26
And the third one is gastrojejunostomy
0:28
where we anastomose, the distal portion
0:31
of jejunum, uh, with the stomach lumen.
0:34
It can happen that some of the people
0:35
try to save the pylorus in some of the
0:38
patients, and for the pyloric saving
0:40
surgeries, that will be jejunojejunostomy.
0:44
So we should be aware of, there are three
0:45
anastomosis we are going to look for in the
0:47
whipple procedure, and because the recurrences
0:49
can occur any of these locations, specifically
0:52
pancreaticojejunostomy or hepaticojejunostomy.
0:54
These are the sites where
0:55
most of the recurrences occur.
Neeraj Lalwani, MD, FSAR, DABR
Associate Professor
Virginia Commonwealth University Health and School of Medicine
© 2024 MRI Online. All Rights Reserved.