4.10 Whipple: pancreaticoduodenectomy

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specific

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general

distal stomach

duodenum

proximal 15 cm of jejunum

head of pancreas

common bile duct

lymph nodes

pancreatico-jejunostomy

hepatico-jejunostomy

gastro-jejunostomy

gallbladder

dumping syndrome (gastric emptying)

gastric stasis

endocrine insufficiency: DM

exocrine insufficiency: malabsorption, stetorrhea

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diarrhea (ANS)

anastomotic leak

pancreatitis

pseudocyst

injury

bleeding

infection