Usually means: Region near the ampulla of Vater.
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We found 3 dictionaries that define the word periampullary:

General (1 matching dictionary)
  1. periampullary: Wiktionary

Medicine (2 matching dictionaries)
  1. Dorland's Illustrated Medical Dictionary (No longer online)
  2. periampullary: Medical dictionary

Definitions from Wiktionary (periampullary)

adjective:  (anatomy) Surrounding an ampulla

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