十二指腸球部
WordNet
- a modified bud consisting of a thickened globular underground stem serving as a reproductive structure
- anything with a round shape resembling a teardrop
- a rounded part of a cylindrical instrument (usually at one end); "the bulb of a syringe"
- a rounded dilation or expansion in a canal or vessel or organ
PrepTutorEJDIC
- 『球根』(ユり・タマネギなどの地下茎),りん(鱗)茎,球茎 / 球根状のもの;電球,真空管
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2013/04/12 05:43:46」(JST)
[Wiki en表示]
Duodenal bulb |
|
Interior of the stomach. (There is no label for "Duodenal bulb", but the portion of the duodenum labeled at upper left is the duodenal bulb.) |
Latin |
pars superior duodeni, bulbus duodeni |
Gray's |
subject #248 1169 |
The duodenal bulb is the portion of the duodenum which is closest to the stomach. It normally has a length of about 5 centimeters. The duodenal bulb begins at the pylorus and ends at the neck of the gallbladder.[1] It is located posterior to the liver and the gallbladder, and superior to the pancreatic head. The gastroduodenal artery, portal vein, and common bile duct lie just behind it. The distal part of the bulb is located retroperitoneally. It abuts the Pyloric sphincter.
The duodenal bulb is the place where duodenal ulcers occur. Duodenal ulcers are more common than gastric ulcers and, unlike gastric ulcers, are caused by increased gastric acid secretion. Duodenal ulcers are commonly located anteriorly, and rarely posteriorly. Anterior ulcers can be complicated by perforation, while the posterior ones bleed. The reason for that is explained by their location. The peritoneal or abdominal cavity is located anterior to the duodenum. Therefore, if the ulcer grows deep enough, it will perforate; whereas if a posterior ulcer grows deep enough, it will perforate the gastroduodenal artery and bleed.
Notes
- ^ "Normal Findings in Endoscopy: Bulbus Duodeni". GASTROLAB.
External links
- Diagram - look for figure #2, item #5
- MedEd at Loyola Radio/curriculum/GI/sandy44a.jpg
- Images at gastrolab.net
UpToDate Contents
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English Journal
- New technique for safer endoscopic submucosal dissection using the duodenal balloon occlusion method.
- Mori H1, Kobara H, Inoue H, Kobayashi M, Muramatsu A, Nomura T, Gong J, Hagiike M, Izuishi K, Suzuki Y, Masaki T.
- Journal of gastroenterology and hepatology.J Gastroenterol Hepatol.2012 Jan;27(1):81-5. doi: 10.1111/j.1440-1746.2011.06833.x.
- BACKGROUND AND AIM: Endoscopic submucosal dissection (ESD) enables complete, collective removal of gastrointestinal (GI) malignant tumors, but requires a long operation time. Air insufflated during ESD is distributed throughout the entire GI tract, and thus causes an enlarged feeling of the abdomen.
- PMID 21722178
- Dumping syndrome: an unusual cause of severe hyperinsulinemic hypoglycemia in neurologically impaired children with gastrostomy.
- Bizzarri C1, Cervoni M, Crea F, Cutrera R, Schiavino A, Schiaffini R, Cappa M.
- Minerva pediatrica.Minerva Pediatr.2011 Feb;63(1):67-71.
- This paper describes severe hyperinsulinemic hypoglycemia during bolus enteral feeding in two neurologically impaired children. Both children were affected by dysphagia with swallowing difficulties; caloric intake was inadequate. For these reasons, percutaneous endoscopic gastrostomy had been positi
- PMID 21311431
- [Timing and concepts of surgical treatment of upper gastrointestinal haemorrhage].
- Koenig AM1, Gawad K, Yekebas E, Seewald S, Izbicki J.
- Zentralblatt für Chirurgie.Zentralbl Chir.2010 Feb;135(1):65-9. doi: 10.1055/s-0028-1098920. Epub 2010 Feb 16.
- BACKGROUND: Upper gastrointestinal bleeding is a frequently occurring clinical scenario with a potentially serious prognosis. In spite of excellent endoscopic results, the mortality rate after an insufficient endoscopic treatment is exception-ally high (12.5-36 %). It is crucial to recognise factors
- PMID 20162502
Japanese Journal
- 門脈圧亢進症例に併発する十二指腸びらんの臨床的検討
- 首藤 龍人,矢崎 康幸,桜井 忍,上西 博,山田 裕人,菅原 謙二
- 日本門脈圧亢進症学会雑誌 6(4), 232-237, 2000
- 胃・食道静脈瘤に対して内視鏡的治療を施行した418例中45例 (10.8%) に特異な十二指腸びらんを認めた.十二指腸炎として日常散見される病変は, 球部を中心として斑状に小びらんが観察されることが多いが, 門脈圧亢進症例に観察される十二指腸びらんは, ケルクリングひだに沿って輪状に配列する傾向をもっていた.超音波内視鏡所見としては, 十二指腸壁の浮腫, 十二指腸壁内および壁周囲の管腔構造の増生が …
- NAID 130004635808
- 選択的近位迷走神経切離術施行後18年目に発生した胃癌の1例
- 石原 聡一郎,町田 武久,坂 佳奈子,松本 政雄,増田 幸蔵,志田 晴彦,今成 朋洋,山本 登司,井上 泰
- 日本臨床外科医学会雑誌 57(1), 106-110, 1996
- 症例は62歳男性.十二指腸潰瘍,胆石症に対して選択的近位迷走神経切離術兼幽門形成術および胆摘術施行後,無症状に経過していたが,術後18年目に検診の胃透視にて異常を指摘され来院.胃内視鏡検査を施行したところ,前庭部にIIc+III like advanced typeの胃癌が認められ入院,幽門側胃切除術を施行した.切除標本にて病変は前庭部に主座を有し,幽門形成部の縫合線を越えて十二指腸球部におよんで …
- NAID 130003599752
- 福富 達也,立山 尚,大西 勇人,鋤柄 宏,磯部 智明,祖父江 吉助,早川 富博,星野 信,宮治 眞,武内 俊彦
- 日本消化器内視鏡学会雑誌 34(9), 2083-2087_1, 1992
- 症例は64歳,女性.胆嚢結石の精査にてERCP施行時,十二指腸球部より下行脚にかけて黒色点状の色素沈着を認めた.電顕にて色素顆粒は十二指腸絨毛部粘膜固有層マクロファージのライソゾーム内に存在し,組織化学的にはFontana-Masson染色陽性,過マンガン酸カリウムで漂白され,鉄反応弱陽性であったため,十二指腸メラノーシスと診断した.本例はベンゼン環を有する降圧剤の長期服用が,色素形成の一因と考え …
- NAID 130004089617
Related Links
- ampulla of duodenum [TA] the dilated portion of the superior part of the duodenum. See also: duodenal cap. Synonym(s): ampulla duodeni [TA], bulbus duodeni , ... Disclaimer All content on this website, including dictionary ...
- Gastrointestinal Slideshows Science Photo Library Examples of Endoscopic Images in this Site The normal gastrointestina1 tract Oesophagus Cardia Stomach Gastric Antrum Pylorus Bulbus Duodeni Duodenum Ileum Caecum ...
Related Pictures
★リンクテーブル★
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- 英
- duodenal bulb, duodenal cap
- ラ
- bulbus duodeni
- 関
- 十二指腸
[★]
- 関
- ball、globe、globus、sphere、olfactory bulb