however in cases of large pancreatic carcinomas modifying the relations between the duodenum and the bile duct or stenosing the duodenum , or as a routine whenever possible , it seems to us advisable to undertake a choledoco-jejunostomy on a y loop ( the raised loop is also used for a gastrojejunostomy ) , and this seems to give the most rapid recovery from the jaundice , a low mortality and ensure the longest survival .
C0013303
duodenum
C0399839
gastrojejunostomy