To cannulate the duodenum, first, locate the tissue as the bright pink section of the small intestine, which upon gentle downward pulling reveals the stomach. Then, use a sterile 23-gauge needle to make a small puncture hole in the duodenum at the pylorus, approximately 2 centimeters below the junction of the stomach and duodenum. Next, insert the J-shaped hook end of the duodenal cannula through the puncture and secure the cannula in place with a drop of cyanoacrylate glue. Then, use sutures to close the abdominal muscle wall incision.
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