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1. Exposure
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a. Midline Incision, Enter Peritoneum
b. Enter Lesser Sac/Wide Kocher Maneuver
c. Evaluate Pylorus & Duodenum
2. Duodenal Resection
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a. Take R. Gastroepiploic & R. Gastric Arteries
b. Examine Pylorus & Duodenum for Tumor
c. Divide Duodenum
3. Gastric Resection
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a. Mobilize Stomach/Divide Vessels along Lesser & Greater Curvature
b. Resect Antrum & Send Specimen for Path
4. Retrocolic Gastrojejunostomy
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a. Bring up Jejunal Limb
b. Anastomosis, Outer Layer
c. Inner Layer, Running 3.0 Vicryl
d. Lembert Sutures
e. Bring Anastomosis through Trap & Suture in Place
5. Closure
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a. Fascia Closed with #1 Running Prolene & Skin Stapled
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Open Antrectomy, Duodenal Resection, and Gastrojejunostomy for a Multiple Endocrine Neoplasia Tumor
Derek J. Erstad, MD
1
;
David Berger, MD
1
1
Department of Surgery, Massachusetts General Hospital
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General Surgery
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Authors
David Berger, MD
Derek J. Erstad, MD
Filmed At:
Massachusetts General Hospital
Article Information
Publication Date
N/A
Article ID
28
Production ID
0089
Volume
N/A
Issue
28
DOI
https://doi.org/10.24296/jomi/28