Sutures and Wound Repair/ General Surgery (ABSA) Practice Test

Which anastomoses are completed during a Whipple operation?

1. Pancreatojejunostomy

2. Duodenojejunostomy

3. Choledocojejunostomy

4. All of the above

The correct answer is: All of the above

The Whipple operation, also known as pancreaticoduodenectomy, is a complex surgical procedure primarily performed to treat pancreatic cancer or other conditions affecting the pancreas, duodenum, and bile duct. During this procedure, several important anastomoses are established to restore the continuity of the digestive tract and bile flow. The pancreatojejunostomy involves connecting the remainder of the pancreas to the jejunum (part of the small intestine), allowing pancreatic secretions to enter the digestive tract once again following the resection of the head of the pancreas. The duodenojejunostomy is another crucial anastomosis completed during the Whipple operation. This connection links the remaining portion of the jejunum to the duodenum, facilitating the flow of food and digestive juices through the intestines. Additionally, choledocojejunostomy refers to the connection between the common bile duct and the jejunum. This anastomosis is critical for redirecting bile from the liver into the digestive system after the path through the duodenum has been altered. All these anastomoses are integral to the success of the Whipple procedure, ensuring that digestive functions are maintained following the removal of affected structures. Therefore, the comprehensive nature of