LE CONSEGUENZE CHIRURGICHE DELLE VARIAZIONI TOPOGRAFICHE DELL'IMPIANTO DELLA PAPILLA NEL DUODENO

Translated title of the contribution: The surgical consequences of the topographic variations of the duodenal papilla

E. Forni, G. Volpato, A. M. Borri, G. Orlandoni

Research output: Contribution to journalArticle

Abstract

The authors underline the importance of anatomical variations concerning the location of the duodenal papilla. In roughly 75% of cases, this structure pierces the duodenal mucosa at D2 and at the level of the lower flexure, in 20% at D3 and in about 6% at D1. Intraoperative cholangiography is most useful to spot the papilla; its position is fundamental from an anatomo-surgical point of view both when this structure is placed at a high level (when performing a gastro-duodenal resection), and when located at D3 level, if sphincterotomy is required. In this latter case, the usual incision at 12 hours should be carried out at 9 hours instead in order to avoid surgical damage to the canal of Wirsung running vertically and along the common bile duct.

Translated title of the contributionThe surgical consequences of the topographic variations of the duodenal papilla
Original languageItalian
Pages (from-to)20-27
Number of pages8
JournalChirurgia Italiana
Volume34
Issue number1
Publication statusPublished - 1982

ASJC Scopus subject areas

  • Surgery

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  • Cite this

    Forni, E., Volpato, G., Borri, A. M., & Orlandoni, G. (1982). LE CONSEGUENZE CHIRURGICHE DELLE VARIAZIONI TOPOGRAFICHE DELL'IMPIANTO DELLA PAPILLA NEL DUODENO. Chirurgia Italiana, 34(1), 20-27.