c l i n i c a l f o l i o s : n a r r a t i v e





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Double Bypass for Duodenal Carcinoma: 4

A D V E R T I S E M E N T

   
 

A stent was placed in the common bile duct to relieve the cholangitis. Work-up revealed retroperitoneal para-aortic metastatic disease. It was not technically possible to place a wall stent to relieve the duodenal narrowing. The patient underwent four weeks of chemoradiation in preparation for palliative double bypass.      

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Double Bypass for Duodenal Carcinoma: 5

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The abdomen was opened through a limited chevron incision.     

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Double Bypass for Duodenal Carcinoma: 6

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On exploration there was a liver metastasis found in the right lobe.     

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This page was last modified on 11/29/2004.