副膵管、サントリーニ管
WordNet
- a continuous tube formed by a row of elongated cells lacking intervening end walls
- an enclosed conduit for a fluid
- a bodily passage or tube lined with epithelial cells and conveying a secretion or other substance; "the tear duct was obstructed"; "the alimentary canal"; "poison is released through a channel in the snakes fangs" (同)epithelial duct, canal, channel
PrepTutorEJDIC
- 《所有・所属》…『の』,…のものである,…に属する・《材料・要素》…『でできた』,から成る・《部分》…『の』[『中の』] ・《数量・単位・種類を表す名詞に付いて》…の・《原因・動機》…『で』,のために(because of) ・《主格関係》…『の』,による,によって・《目的格関係》…『を』,の・《同格関係》…『という』・《関係・関連》…『についての』[『の』],の点で・《抽象名詞などと共に》…の[性質をもつ] ・《『It is』+『形』+『of』+『名』+『to』 doの形で,ofの後の名詞を意味上の主語として》・《分離》…『から』・《起原・出所》…『から』[『の』](out of) ・《『名』+『of』+『a』(『an』)+『名』の形で》…のような・《『名』+『of』+『mine』(『yours, his』など独立所有格)の形で》…の…・《時》(1)《副詞句を作って》…に《形容詞句を作って》…の・《時刻》《米》…前(to,《米》before)
- 送水管;(建物・船などの)通気管;(地下ケーブルなどの)ダクト / (体液を運ぶ)導管,(植物が水・空気を運ぶ)導管
- OLD French古[代]フランス語
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2018/02/20 08:43:34」(JST)
[Wiki en表示]
| Pancreatic duct |
|
The pancreatic duct.
|
|
| Details |
| Precursor |
Pancreatic bud |
| Identifiers |
| Latin |
ductus pancreaticus |
| MeSH |
D010183 |
| TA |
A05.9.01.015 |
| FMA |
10419 |
| Anatomical terminology
[edit on Wikidata]
|
1. Bile ducts: 2. Intrahepatic bile ducts, 3. Left and right hepatic ducts, 4. Common hepatic duct, 5. Cystic duct, 6. Common bile duct, 7. Ampulla of Vater, 8. Major duodenal papilla
9. Gallbladder, 10–11. Right and left lobes of liver. 12. Spleen.
13. Esophagus. 14. Stomach. 15. Pancreas: 16. Accessory pancreatic duct, 17. Pancreatic duct.
18. Small intestine: 19. Duodenum, 20. Jejunum
21–22. Right and left kidneys.
The front border of the liver has been lifted up (brown arrow).
[1]
The pancreatic duct, or duct of Wirsung (also, the major pancreatic duct due to the existence of an accessory pancreatic duct), is a duct joining the pancreas to the common bile duct to supply pancreatic juice provided from the exocrine pancreas which aids in digestion. The pancreatic duct joins the common bile duct just prior to the ampulla of Vater, after which both ducts perforate the medial side of the second portion of the duodenum at the major duodenal papilla. There are many anatomical variants reported but these are quite rare.[2]
The duct of Wirsung is named after its discoverer, the German anatomist Johann Georg Wirsung (1589–1643).[3]
Contents
- 1 Accessory pancreatic duct
- 2 Clinical significance
- 3 Additional images
- 4 References
Accessory pancreatic duct
Most people have just one pancreatic duct. However, some have an additional accessory pancreatic duct, called the Duct of Santorini. An accessory pancreatic duct can be functional or non-functional and may open separately into the second part of the duodenum [4][5] which is dorsal and usually (in 70%) drains into the duodenum via the minor duodenal papilla. In the other 30% it drains into the main pancreatic duct, which drains into the duodenum via the major duodenal papilla. The main pancreatic duct and the accessory duct both eventually - either directly or indirectly - connect to the second part ('D2', the vertical segment) of the duodenum.
It is named for Giovanni Domenico Santorini.[6][7]
Clinical significance
Compression, obstruction or inflammation of the pancreatic duct may lead to acute pancreatitis. The most common cause for obstruction is the presence of gallstones in the common bile duct, a condition called choledocholithiasis. Obstruction can also be due to duodenal inflammation in Crohn's disease.[8] A gallstone may get lodged in the constricted distal end of the ampulla of Vater, where it blocks the flow of both bile and pancreatic juice into the duodenum. Bile backing up into the pancreatic duct may initiate pancreatitis.[9] The pancreatic duct is generally regarded as abnormally enlarged if being over 3 mm in the head and 2 mm in the body or tail.[10]
Pancreatic ductal carcinoma is a common form of pancreatic cancer.
Additional images
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ERCP image showing the pancreatic duct and biliary tree.
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Accessory digestive system.
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Interior of the descending portion of the duodenum, showing bile papilla.
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Pancreas of a human embryo of five weeks.
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Pancreas of a human embryo at end of sixth week.
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Pancreatic duct Deep dissection.Anterior view.
References
- ^ editor-in-chief, Susan Standring ; section editors, Neil R. Borley; et al. (2008). Gray's anatomy : the anatomical basis of clinical practice (40th ed.). London: Churchill Livingstone. pp. 1163,1177,1185–6. ISBN 978-0-8089-2371-8.
- ^ Goel, Shivi; Rustagi, SM; Saha, S; Mehta, V; Suri, RK; Rath, G (July 2015). "Aberrant pancreatic ductal organisation: a case report". Surgical and radiologic anatomy: SRA. 37 (5): 543–6. doi:10.1007/s00276-015-1474-z. PMID 25840941.
- ^ doctor/2941 at Who Named It?
- ^ Moore KL, Dalley AF. 2006. Clinically Oriented Anatomy. 5th Ed. Lippincott Williams & Wilkins. p 287.
- ^ 1. Mchonde GJ, Gesase AP. Termination pattern of main and accessory pancreatic ducts among Tanzanians. Anatomy Journal of Africa. 2014; 3(1):223-227.
- ^ synd/3087 at Who Named It?
- ^ G. D. Santorini. Observationes anatomicae. Venetiis, apus J. B. Recurti, 1724
- ^ http://www.gastro.org/user-assets/html/eDigest/2005/December/1/120105.htm
- ^ Moore, Keith L.; Dalley, Arthur F. (2006). Clinically Oriented Anatomy, Fifth Edition. Lippincott Williams & Wilkins. p. 287. ISBN 0-7817-3639-0.
- ^ Edge, Mark D (2007). "Clinical significance of main pancreatic duct dilation on computed tomography: Single and double duct dilation". World Journal of Gastroenterology. 13 (11): 1701. doi:10.3748/wjg.v13.i11.1701. ISSN 1007-9327.
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Anatomy of the liver, pancreas and biliary tree
|
| Liver |
- Bare area
- Cantlie line
- Ligamentum venosum
- Porta hepatis
- Round ligament
- Lobes of liver
- Fibrous capsule of Glisson
- Perisinusoidal space
- Liver sinusoid
- Portal triad
- Lobules of liver
- Liver segment
- Microanatomy
- Hepatocyte
- Hepatic stellate cell
- Kupffer cell
|
| Biliary tract |
| Bile ducts |
- Intrahepatic bile ducts
- Bile canaliculus
- Canals of Hering
- Interlobular
- Left hepatic duct
- Right hepatic duct
- Common hepatic duct
|
| Gallbladder |
- Cystic duct
- Common bile duct
- Ampulla of Vater
- Cells
|
|
| Pancreas |
- Gross
- Tail
- Body
- Neck
- Head (Uncinate process)
- Ducts
- Microanatomy
- Pancreatic islets
- Centroacinar cell
- Stellate cell
|
UpToDate Contents
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English Journal
- One-step surgery for acute ischemia of the jejunal loop after pancreatoduodenectomy: report of a case.
- Kayashima H1, Maeda T2, Harada N2, Masuda T2, Ohmine T2, Yamaguchi S2, Matsuyama A2, Hamatake M2, Tsutsui S2, Matsuda H2.
- Surgical case reports.Surg Case Rep.2016 Dec;2(1):24. doi: 10.1186/s40792-016-0153-6. Epub 2016 Mar 14.
- BACKGROUND: Pancreatoduodenectomy (PD) is an extensive surgery, and its complications are grave. Acute ischemia of the jejunal loop due to thrombosis of the superior mesenteric vein (SMV) and its branches is one of the most dangerous complications that, although rare, if left untreated leads to abdo
- PMID 26976614
- Connective tissue growth factor is critical for proper β-cell function and pregnancy-induced β-cell hyperplasia in adult mice.
- Pasek RC1, Dunn JC1, Elsakr JM2, Aramandla M3, Matta AR3, Gannon M4.
- American journal of physiology. Endocrinology and metabolism.Am J Physiol Endocrinol Metab.2016 Sep 1;311(3):E564-74. doi: 10.1152/ajpendo.00194.2016. Epub 2016 Jul 26.
- During pregnancy, maternal β-cells undergo compensatory changes, including increased β-cell mass and enhanced glucose-stimulated insulin secretion. Failure of these adaptations to occur results in gestational diabetes mellitus. The secreted protein connective tissue growth factor (CTGF) is critica
- PMID 27460898
- The Genomic Landscape of Pancreatic and Periampullary Adenocarcinoma.
- Sandhu V1, Wedge DC2, Bowitz Lothe IM3, Labori KJ4, Dentro SC2, Buanes T5, Skrede ML6, Dalsgaard AM6, Munthe E7, Myklebost O7, Lingjærde OC8, Børresen-Dale AL9, Ikdahl T10, Van Loo P11, Nord S6, Kure EH12.
- Cancer research.Cancer Res.2016 Sep 1;76(17):5092-102. doi: 10.1158/0008-5472.CAN-16-0658. Epub 2016 Aug 3.
- Despite advances in diagnostics, less than 5% of patients with periampullary tumors experience an overall survival of five years or more. Periampullary tumors are neoplasms that arise in the vicinity of the ampulla of Vater, an enlargement of liver and pancreas ducts where they join and enter the sm
- PMID 27488532
Japanese Journal
- 急性膵炎を契機に発見され幽門輪温存膵頭十二指腸切除術を施行した早期十二指腸乳頭部癌の1例
- 十二指腸潰瘍が原因となったgroove pancreatitisの一例
Related Pictures
★リンクテーブル★
[★]
- 英
- accessory pancreatic duct (Z)
- ラ
- ductus pancreaticus accessorius
- 同
- サントリニ管 Santorini管 Santorini duct, duct of Santorini, ductus accessorius Santorini, canal de Santorini
- 関
- 膵管、主膵管
[★]
膵管
- 関
- duct of Santorini、main pancreatic duct
[★]
- 関
- canal、conduit、ductal、ductus、meatus、pipe、tubal、tube、vas、vessel
