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1. Management of duodenal trauma in adultsmanagement of duodenal trauma in adults [show details]
… full-thickness duodenal injury, resection and primary anastomosis (duodenoduodenostomy), or duodenojejunostomy and Roux-en-Y reconstruction. Several adjunctive techniques (eg, pyloric exclusion, duodenal decompression… The duodenal sweep is bordered by the gallbladder laterally and the head of the pancreas medially.…
2. 胃切除後の合併症postgastrectomy complications [show details]
… breakdown of the duodenal stump closure, or duodenal stump leak, following a Billroth II or Roux-en-Y type of procedure The most important goal of treatment of duodenal stump leak is… at the level of the gastrointestinal anastomosis or a short distance away from the anastomosis (eg,… which is caused by decreased gallbladder contraction from various mechanisms,…
3. 幽門温存膵頭十二指腸切除術pylorus preserving pancreaticoduodenectomy [show details]
… so this tube will be removed when the anastomosis is almost complete. The two-layer anastomosis is begun by placing a posterior row of… with removal of the pancreatic head, duodenum, first 15 cm of the jejunum, common bile duct, and gallbladder A modification of the conventional procedure, pylorus-preserving pancreaticoduodenectomy preserves … cancer by biopsy. Tumor involvement here is considered a contraindication to resection. As the duodenal mobilization proceeds distally, the hepatic flexure of the colon must be separated from it, which …
4. 胆嚢癌の外科的マネージメントsurgical management of gallbladder cancer [show details]
… early-stage gallbladder cancer. The surgical management of gallbladder cancer is reviewed in this topic. Other related topics are discussed separately: Clinical evaluation and diagnosis of gallbladder cancer …
5. 胆嚢癌：疫学、危険因子、臨床的特徴、および診断gallbladder cancer epidemiology risk factors clinical features and diagnosis [show details]
… impacted stone in the gallbladder neck is identified (ie, Mirizzi syndrome). Invasion of tumor into the porta hepatis may also result in duodenal obstruction . The presence of duodenal obstruction implies …

Related Pictures

腹腔鏡下膵頭十二指腸切除術胆嚢空腸吻合および胃空腸吻合：胆嚢胃吻合と胃空腸吻合胆道癌│手術数と治療実績十二指腸に排泄されるまでの胃と周辺臓器の模式図されていた通常は胆のう

★リンクテーブル★

リンク元	「cholecystoduodenostomy」
関連記事	「十二指腸」「胆嚢」「吻合」「術」「吻合術」

「cholecystoduodenostomy」

　　[★] 胆嚢十二指腸吻合術

「十二指腸」

　　[★]

英: duodenum (Z)
関: 消化器系、小腸

解剖

first portion	上部、球部
second portion	下行部
third portion	水平部
fourth portion	上行部

上部

-superior part
KA. 291,311,312
KH. 170

5cm, 5cm (KL.350)
最初の2cmは可動性があり、十二指腸球部と呼ばれる

血管

上膵十二指腸動脈

下行部 descending part

KA. 297

7-10cm, 8cm (KL.350)
小十二指腸乳頭、大十二指腸乳頭、十二指腸縦ヒダ

血管

上膵十二指腸動脈

水平部

horizontal part
KA. 297
KH. 170

6-8cm, 8cm (KL.351)
輪状ヒダがある

血管

下膵十二指腸動脈

上行部

ascending part
KH. 170

5cm, 5cm (KL.352)
輪状ヒダがある

血管

下膵十二指腸動脈

組織

1		2		3	4	5	6
上皮	上皮表層の構成細胞	粘膜固有層	腺の構成細胞	粘膜筋板	粘膜下組織→	筋層	漿膜/外膜
単層円柱上皮	吸収上皮細胞、杯細胞(ムチンノーゲン分泌)、内分泌細胞、M細胞	腸腺	吸収上皮細胞、杯細胞、幹細胞、内分泌細胞、パネート細胞	内輪層、外縱層	ブルンネル腺 (分枝管状胞状腺、アルカリ性の粘液、ウロガストロン産生)	内輪筋層外縱筋層	漿膜外膜 (下行部、水平部)