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The following questions were submitted to the Editorial Board: What are the indications for opening the duodenum during surgery of the pancreas and the biliary tract? What methods of opening and closing the duodenum do you employ? Have you encountered any morbidity from this procedure, assuming that no resection of the duodenum is carried out? The answers are summarized herewith.
There seems to be general agreement that duodenotomy is not only important but is too seldom employed during surgery of the bile ducts and pancreas. While it should obviously not be used indiscriminately, there are definite indications which call for its employment. Surgeons should realize and study these various indications in sufficient detail beforehand so that the procedure may be carried out early during operation rather than late. Too often duodenotomy is performed as a measure of last resort after a prolonged period of repeated and unsuccessful attempts to pass
DUODENOTOMY DURING SURGERY OF THE PANCREAS AND THE BILIARY TRACT. AMA Arch Surg. 1950;61(5):975-976. doi:10.1001/archsurg.1950.01250020983019