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=== Duodenum === * 20-25 cm in length * May be mobilized medially using a Kocher maneuver to expose these right-sided retroperitoneal structures * '''Can be divided into 4 distinct parts:''' *# '''First (superior) portion''' *#* '''Intraperitoneal''' *#* Extends from the pylorus to the neck of the gallbladder *# '''Second (descending) portion''' *#* '''Retroperitoneal''' *#* '''Critically important to the urologist because of its proximity to the right renal hilum''' *#* '''The common bile duct and the main pancreatic duct combine to enter the 2nd portion at the ampulla of Vater (hepatopancreatic ampulla).''' *# '''Third (horizontal or inferior) portion''' *#* '''Retroperitoneal''' *#* '''Crosses the body from right to left and lies posterior to the SMA and anterior to the aorta''' *# '''Fourth (ascending) portion''' *#* '''Intraperitoneal''' *#* Ascends and becomes intraperitoneal as it transitions into the jejunum
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