Why is the gall bladder removed during Whipple procedure?

  • Whipple procedure consists of pancreaticoduodenectomy followed by pancreaticojejunostomy, choledochojejunostomy and gastrojejunostomy
  • Since the common bile duct is attached to the jejunum, the sphincteric action of sphincter of Oddi is no longer present
  • Bile continuously flows from the common bile duct to the jejunum
  • Hence the gall bladder can no longer perform its function of storage of bile
  • Since gall bladder function is lost, it acts as a focus of infection if retained after surgery
  • Hence the gall bladder is removed during Whipple procedure

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