Order of anastomosis in Whipple's procedure:: (A) Pancreaticojejunostomy, gastrojejunostomy, hepaticojejunostomy, (B) Hepaticojejunostomy, pancreaticojejunostomy, gastrojejunostomy, (C) Gastrojejunostomy, pancreaticojejunostomy, hepaticojejunostomy, (D) Pancreaticojejunostomy, hepaticojejunostomy, gastrojejunostomy
Answer is D. Tumor position Procedure Head (malignant) Pylorus preserving Whipple's procedure Head (benign) Enucleation Body & Tail Distal pancreatectomy. Whipple's procedure: Pancreaticojejunostomy, Hepaticojejunostomy Gastrojejunostomy Pylorus preserving Whipple's procedure: Pancreaticojejunostomy, Hepaticojejunostomy, Gastrojejunostomy, Duodenojejunostomy. Maxium risk of leak occurs from Pancreaticojejunostomy > Gastrojejunostomy > Hepaticojejunostomy.