STEP 6Duodenojejunostomy A1A2

Exocrine drainage of the pancreas graft remains a major unsolved problem. The jejunum 40-50cm distal to the ligament of Treitz is selected for a side-to-side duodenojejunostomy. With portomesenteric venous drainage, the entire graft is intraperitoneal. The anastomosis should be about 30-50mm in length. The anastomosis is performed in two layers with the inner layer as a running 4-0 absorbable suture, including all layers of the gut wall. The outer layer is performed with interrupted 0 silk seromuscular sutures.

Second layer of the duodenal anastomosis: Once the running suture is achieved, the second layer of interrupted stitches of silk is performed. As an alternative, the second layer may be a running suture.

Was this article helpful?

0 0
How to Stay Young

How to Stay Young

For centuries, ever since the legendary Ponce de Leon went searching for the elusive Fountain of Youth, people have been looking for ways to slow down the aging process. Medical science has made great strides in keeping people alive longer by preventing and curing disease, and helping people to live healthier lives. Average life expectancy keeps increasing, and most of us can look forward to the chance to live much longer lives than our ancestors.

Get My Free Ebook


Post a comment