The duodenum is the first part of the small bowel and plays an important role in the digestive process. We have a variety of surgical techniques for dealing with problems in the duodenum. Learn more:

Duodenal Resection (Segmental) 

Some polyps or tumors can be removed with segmental duodenal resection, where we take out a part of duodenum without needing to remove the adjacent pancreas.

Resection of Duodenal Polyps and Masses

Whenever possible, we cut out polyps and noncancerous masses of the duodenum without removing any of the organ itself. This can usually be accomplished endoscopically, but on occasion needs to be done surgically. 

Surgical Ampullectomy 

The ampulla is where the bile duct and the pancreas duct intersect and drain their digestive secretions into the duodenum. When polyps or tumors grow here, the whole ampullary complex must be removed. Then we reconnect the pancreatic duct and the bile duct to each other and to the bowel. This procedure is most often performed to address benign or premalignant lesions. Often, this procedure can be performed endoscopically, but at times for larger lesions or for other technical reasons is best approached surgically. 

Duodenal Peptic Stricture Resection and Bypass 

If you have had ulcers in the past, you may develop a narrowing in the duodenum caused by acid. When this occurs, we operate by either taking out the affected part of the duodenum, or by bypassing it so that you can eat normally.

Repair of Cholecystoduodenal Fistulae

The gallbladder can develop connections to the bowel, including connections between the gallbladder and the duodenum. These connections can complicate gallbladder removal surgery, because other organs must be addressed, and require complex operative intervention to repair.

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