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4.10 Whipple: pancreaticoduodenectomy (specific (anastomotic leak,…
4.10 Whipple: pancreaticoduodenectomy
head of pancreas
distal stomach
duodenum
proximal 15 cm of jejunum
lymph nodes
common bile duct
gallbladder
specific
anastomotic leak
pancreatitis
pseudocyst
endocrine insufficiency: DM
exocrine insufficiency: malabsorption, stetorrhea
dumping syndrome (gastric emptying)
gastric stasis
diarrhea (ANS)
pancreatico-jejunostomy
hepatico-jejunostomy
gastro-jejunostomy
general
injury
bleeding
infection