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The first part of the duodenum is the most common location of ulcers since it is where the acidic chyme meets the duodenal mucosa before mixing with the alkaline secretions of the duodenum. [24] Duodenal ulcers may cause recurrent abdominal pain and dyspepsia , and are often investigated using a urea breath test to test for the bacteria, and ...
Secondarily retroperitoneal, meaning the structures initially were suspended in mesentery and later migrated behind the peritoneum during development [3] the duodenum, except for the proximal first segment, which is intraperitoneal [4] ascending and descending portions of the colon (but not the transverse colon, sigmoid and the cecum)
The retroduodenal arteries are several [1] [2] small [2] arteries which usually [1] arise from the gastroduodenal artery [1] [2] posterior to the superior part of duodenum, but may also arise from the posterior superior pancreaticoduodenal artery.
The common duct then opens medially into the descending part of the duodenum at the major duodenal papilla. The common duct usually measures 2-10mm in length. [1] The ampulla of Vater is an important landmark halfway along the second part of the duodenum marking the transition from foregut to midgut. [citation needed]
This is the region where para-aortic and paracaval lymphadenectomies are done. The lateral boundary of the retroperitoneum is defined by the ascending and descending colon. The retroperitoneum can be approached from above by moving the duodenum aside as far as the major renal blood vessels. [2]
The artery supplies the anterior and posterior sides of the duodenum and head of pancreas, with the anterior branch supply the anterior surface and similarly for the posterior. The artery supplies the part of the duodenum proximal to the level of the major duodenal papilla of the descending part of the duodenum. [3]
The inferior pancreaticoduodenal artery is a branch of the superior mesenteric artery.This occurs opposite the upper border of the inferior part of the duodenum.As soon as it branches, it divides into anterior and posterior branches.
As the second part of the duodenum is anatomically in a retroperitoneal location (that is, behind the peritoneal structures of the abdomen), perforations due to sphincterotomies are retroperitoneal. Sphincterotomy is also associated with a risk of bleeding. [ 22 ]