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Lateral Duodenectomy and Duodenojejunostomy (LDAD) Images

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Jejunal atresia in neonate, close to the ligament of Trietz.
VID 127, frame 1

duoG4001

 

Resection and primary anastomosis in traditional repair leads to dysmotility in dilated segment.
VID 127, frame 2

duoG4007

 

Addition of tapering enteroplasty does not entirely overcome poor motility and stasis.
VID 127, frame 3

duoG4008

 

LDAD procedure: right colon mobilized and derotated, duodenum Kocherized, lateral duodenotomy made.
VID 127, frame 4

duoG4002

 

LDAD: third portion of duodenum mobilized, anterolateral distal duodenal wall and atretic segment excised.
VID 127, frame 5

duoG4003

 

Tapering of proximal duodenum begun with interrupted sutures.
VID 127, frame 6

duoG4004

 

Remaining duodenum anastomosed to spatulated jejunal end.
VID 127, frame 7

duoG4005

 

Bowel left in a corrected malrotated position with the cecum in the left upper quadrant and the duodenojejunal anastomosis in a dependent position.
VID 127, frame 8

duoG4006

 

This page was last modified on 1/13/2000.
 

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