主膵管
WordNet
- of force; of the greatest possible intensity; "by main strength"
- a principal pipe in a system that distributes water or gas or electricity or that collects sewage
- any very large body of (salt) water (同)briny
- 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
- of or involving the pancreas; "pancreatic cancer"
- informal terms for a mother (同)mama, mamma, mom, momma, mommy, mammy, mum, mummy
PrepTutorEJDIC
- 《名詞の前にのみ用いて》『おもな,主要な』 / 〈C〉《通例複数形で》(水道・ガスなどの)本管;主電線;(鉄道の)本線,幹線 / 〈U〉《the~》《詩》大海,大海原(おおうなばら)
- 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
- 膵臓の
- 《M-》《話》おかあちゃん(mamma)
- (水道・ガスなどが)本管から送られた,主電線からの
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2016/01/29 12:11:16」(JST)
[Wiki en表示]
"Pancreatic duct of Wirsung" redirects here. For the pancreatic duct of Santorini, also known as the accessory pancreatic duct, see Accessory pancreatic duct.
Pancreatic duct |
The pancreatic duct.
|
|
Details |
Latin |
ductus pancreaticus |
Precursor |
Pancreatic bud |
Identifiers |
MeSH |
A03.734.667 |
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. Small intestine: 15. Duodenum, 16. Jejunum
17. Pancreas: 18: Accessory pancreatic duct, 19: Pancreatic duct.
20–21: Right and left kidneys (silhouette).
The anterior border of the liver is lifted upwards (brown arrow). Gallbladder with Longitudinal section, pancreas and duodenum with frontal one. Intrahepatic ducts and stomach in transparency.
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 juices which aid in digestion provided by the exocrine pancreas. 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.[1]
The duct of Wirsung is named after its discoverer, the German anatomist Johann Georg Wirsung (1589–1643).[2]
Contents
- 1 Accessory pancreatic duct
- 2 Clinical significance
- 3 Additional images
- 4 References
Accessory pancreatic ductEdit
Main article: Accessory pancreatic duct
Most people have just one pancreatic duct. However, some have an additional accessory pancreatic duct, called the Duct of Santorini. Accessory pancreatic duct can be functional or non-functional and may open separately into the second part of the duodenum [3][4]
Clinical significanceEdit
Compression, obstruction or inflammation of the pancreatic duct may lead to acute pancreatitis. The most common cause for obstruction is choledocholithiasis, or gallstones in the common bile duct. Obstruction can also be due to duodenal inflammation in Crohn's disease.[5] 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.[6]
Pancreatic ductal carcinoma is a common form of pancreatic cancer.
Additional imagesEdit
-
ERCP image showing the pancreatic duct and biliary tree.
-
Accessory digestive system.
-
Interior of the descending portion of the duodenum, showing bile papilla.
-
Pancreas of a human embryo of five weeks.
-
Pancreas of a human embryo at end of sixth week.
-
Pancreatic duct Deep dissection.Anterior view.
ReferencesEdit
- ^ 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.
- ^ 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.
Accessory digestive glands
|
|
Liver |
- Bare area of the liver
- Ligamentum venosum
- Porta hepatis
- Round ligament of liver
- Lobes
- Left
- Right (Caudate
- Quadrate)
- Fibrous capsule of Glisson
- Perisinusoidal space
- Liver sinusoid
- Periportal space
- Portal triad
- Lobules of liver
- Microanatomy
- Hepatocyte
- Hepatic stellate cell
- Kupffer cell
|
|
Biliary tract |
Bile ducts |
- Intrahepatic bile ducts
- Bile canaliculus
- Canals of Hering
- Interlobular bile ducts
- 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
|
|
Index of digestion
|
|
Description |
- Anatomy
- Physiology
- Development
|
|
Disease |
- Congenital
- Neoplasms and cancer
- Inflammatory bowel disease
- Gluten sensitivity
- Other
- Symptoms and signs
- Blood tests
|
|
Treatment |
- Procedures
- Drugs
- anabolic steroids
- antacids
- diarrhoea and infection
- bile and liver
- functional gastrointestinal disorders
- laxatives
- peptic ulcer and reflux
- nausea and vomiting
- other
- Surgery
|
|
|
UpToDate Contents
全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.
English Journal
- Middle segment-preserving pancreatectomy for metachronous intraductal papillary mucinous neoplasm after pancreatoduodenectomy: a case report.
- Yamada M1, Sugiura T2, Okamura Y1, Ito T1, Yamamoto Y1, Ashida R1, Uesaka K1.
- Surgical case reports.Surg Case Rep.2017 Dec;3(1):28. doi: 10.1186/s40792-017-0306-2. Epub 2017 Feb 14.
- PMID 28197897
- Partial ablation of the pancreas of Sprague Dawley® rats by focused ultrasound reveals no significant adverse effects on glycometabolism function.
- Ao L1, Hu N1, Hu HX2, Liu Q3, Zhao ZH3, Liu LX3, Wu JR4, Li FQ2, Fang LQ5.
- Ultrasonics.Ultrasonics.2017 Sep;80:113-118. doi: 10.1016/j.ultras.2017.05.006. Epub 2017 May 11.
- PMID 28535431
- Alkaline pH induces IRR-mediated phosphorylation of IRS-1 and actin cytoskeleton remodeling in a pancreatic beta cell line.
- Deyev IE1, Popova NV2, Serova OV2, Zhenilo SV3, Regoli M4, Bertelli E4, Petrenko AG5.
- Biochimie.Biochimie.2017 Jul;138:62-69. doi: 10.1016/j.biochi.2017.04.002. Epub 2017 Apr 22.
- PMID 28438671
Japanese Journal
- CD14 upregulation as a distinct feature of non-alcoholic fatty liver disease after pancreatoduodenectomy
- Satoh Daisuke,Yagi Takahito,Nagasaka Takeshi,Shinoura Susumu,Umeda Yuzo,Yoshida Ryuichi,Utsumi Masashi,Tanaka Takehiro,Sadamori Hiroshi,Fujiwara Toshiyoshi
- World Journal of Hepatology 5(4), 189-195, 2013-04-27
- … Univariate analysis identified cancer of the pancreatic head, sex, diameter of the main pancreatic duct, and dissection of the nerve plexus as factors associated with the development of NAFLD after PD. …
- NAID 120005324792
- A case of acinar cell carcinoma of the pancreas
- Tominaga Tetsuro,Nanashima Atsushi,Abo Takafumi,Wakata Kouki,Hamasaki Keiko,Kunizaki Masaki,To Kazuo,Hidaka Shigekazu,Takeshita Hiroaki,Kinoshita Naoe,Kudo Takashi,Nagayasu Takeshi
- Acta medica Nagasakiensia 58(1), 25-28, 2013-04-00
- … Background Acinar cell carcinoma (ACC) is a very rare malignancy and represents only 1% to 2% of pancreatic exocrine carcinomas. … Reliable data concerning effective adjuvant chemotherapy has not been established.Case presentation A 30-mm tumor in the pancreatic tail was incidentally discovered by computed tomography in a 71-yearold man. … Several swollen lymph nodes were seen around the main tumor. …
- NAID 110009577015
- 膵周囲液体貯留を伴う急性膵炎の治療に経鼻膵管ドレナージが有効であった非機能性膵内分泌腫瘍の1例
- 上田 樹,菊山 正隆,黒上 貴史,永倉 千紗子,新井 一守
- 日本消化器内視鏡学会雑誌 55(7), 2018-2023, 2013
- 30代・女性.主訴は左側腹部痛.血清アミラーゼ値の上昇,膵腫大と少量の膵周囲液体貯留を認めた.膵頭部には10mmの腫瘤影を伴った.液体貯留はアミラーゼ濃度高値であった.ERCPで膵頭部膵管の圧排狭窄が描出され,内視鏡的経鼻膵管ドレナージ(ENPD)を留置した.後日貯留液体の減少を確認した.EUS-FNAにて膵頭部腫瘤は非機能性膵内分泌腫瘍であった.腫瘍による閉塞性膵炎と診断し,幽門輪温存膵頭十二指 …
- NAID 130003375332
Related Links
- "main pancreatic duct" への豊富な翻訳例文 – 和英辞書と日本語翻訳サーチエンジン ... 本設計では起因過程における冷却材ボイド化による過大な反応度挿入を抑制するために最大ボイド反応度などの 設計パラメータを適切に選定する ...
- Main pancreatic duct portion of the dorsal duct proximal to the dorsal-ventral fusion point drains at the ampulla of Vater connects with the duct of Santorini (see below) if present Pancreatic duct of Wirsung segment of the in 70 % ...
Related Pictures
★リンクテーブル★
[★]
- 英
- main pancreatic duct, MPD
- 同
- ウィルスング管、Wirsung管、Wirsung duct, Wirsung's duct
- 関
- 膵管、副膵管 = サントリーニ管。主乳頭
[show details]
ウィルズング Wirsung : 6 件
ウィルスング Wirsung : 8 件
[show details]
ウイルスング管 : 7 件
ウィルスング管 : 6 件
ウイルズング管 : 4 件
ウィルズング管 : 約 12 件
ヴイルスング管 : nothing
ヴィルスング管 : nothing
ヴイルズング管 : 約 0 件
ヴィルズング管 : 約 6 件
ウイルスング管 Wirsung : 11 件
ウィルスング管 Wirsung : 1 件
ウイルズング管 Wirsung : 3 件
ウィルズング管 Wirsung : 3 件
ヴイルスング管 Wirsung : nothing
ヴィルスング管 Wirsung : nothing
ヴイルズング管 Wirsung : nothing
ヴィルズング管 Wirsung : 5 件
[★]
膵管
- 関
- duct of Santorini、main pancreatic duct
[★]
自己免疫性膵炎、膵管狭細型慢性膵炎
[★]
- 関
- cardinal、chief、chiefly、foremost、mainly、major、master、mostly、predominant、predominantly、primarily、primary、principal、principally
[★]
- 関
- canal、conduit、ductal、ductus、meatus、pipe、tubal、tube、vas、vessel
[★]
- 関
- pancreas、pancreata
[★]
膵管
- 関
- duct of Santorini、main pancreatic duct