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Figure 13b. Whipple procedure. (a) Presecretin MR image obtained after Whipple surgery does not show any residual pancreatic duct. (b) MR image obtained 7 minutes after secretin injection clearly depicts the pancreatic duct in the body and tail (white arrow), mild stenosis at the junction with the roux limb of the jejunum (black arrow), and dilatation of a side branch (arrowhead). (c) ERCP image obtained with cannulation of the pancreatojejunostomy helps confirm mild distention of the main pancreatic duct and side branch.
