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Uptodate Reference Title
Duodenal transection during total gastrectomy
Duodenal transection during total gastrectomy
The duodenum is transected just distal to the pylorus using a gastrointestinal anastomosis stapler (GIA) device. Care is taken to preserve the structures of the portal triad. The duodenal stump is oversewn using a 3-0 Prolene. The omentum is removed with the specimen when treating gastric adenocarcinoma.