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Iatrogenic Duodenal Injuries - Department of Surgery at SUNY ...

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www.downst<strong>at</strong>esurgery.org<br />

Risk Factors for <strong>Duodenal</strong><br />

Perfor<strong>at</strong>ion<br />

• Risk factors for bowel wall perfor<strong>at</strong>ion:<br />

• Stenosis in the upper GI tract or bile ducts<br />

• Abnormal GI an<strong>at</strong>omy (s/p gastrectomy, s/p<br />

pancre<strong>at</strong>icoduodenectomy and situs inversus)<br />

• Particular caution required with use <strong>of</strong> sideviewing<br />

scope in p<strong>at</strong>ients with Billroth II<br />

reconstruction

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