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A D V E R T I S E M E N T | |||||
Lateral Duodenectomy and Duodenojejunostomy (LDAD) Images |
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Jejunal atresia in neonate, close to the ligament of Trietz. |
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Resection and primary anastomosis in traditional repair leads to dysmotility in dilated segment. |
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Addition of tapering enteroplasty does not entirely overcome poor motility and stasis. |
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LDAD procedure: right colon mobilized and derotated, duodenum Kocherized, lateral duodenotomy made. |
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LDAD: third portion of duodenum mobilized, anterolateral distal duodenal wall and atretic segment excised. |
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Tapering of proximal duodenum begun with interrupted sutures. |
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Remaining duodenum anastomosed to spatulated jejunal end. |
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Bowel left in a corrected malrotated position with the cecum in the left upper quadrant and the duodenojejunal anastomosis in a dependent position. |
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This page was last modified on 1/13/2000. A D V E R T I S E M E N T
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