major duodenal papilla

大十二指腸乳頭

WordNet

1. of the field of academic study in which one concentrates or specializes; "his major field was mathematics"
2. a commissioned military officer in the United States Army or Air Force or Marines; below lieutenant colonel and above captain
3. a university student who is studying a particular field as the principal subject; "she is a linguistics major"
4. the principal field of study of a student at a university; "her major is linguistics"
5. greater in number or size or amount; "a major portion (a majority) of the population"; "Ursa Major"; "a major portion of the winnings"
6. greater in scope or effect; "a major contribution"; "a major improvement"; "a major break with tradition"; "a major misunderstanding"
7. have as ones principal field of study; "She is majoring in linguistics"
8. of a scale or mode; "major scales"; "the key of D major"
9. of full legal age
10. of greater importance or stature or rank; "a major artist"; "a major role"; "major highways"
11. of greater seriousness or danger; "a major earthquake"; "a major hurricane"; "a major illness"
12. of the elder of two boys with the same family name; "Jones major"
13. (botany) a tiny outgrowth on the surface of a petal or leaf
14. a small nipple-shaped protuberance concerned with taste, touch, or smell; "the papillae of the tongue"
15. a small projection of tissue at the base of a hair or tooth or feather
16. in or relating to the duodenum; "duodenal ulcer"
17. British statesman who was prime minister from 1990 until 1997 (born in 1943) (同)John Major, John R. Major, John Roy Major

PrepTutorEJDIC

1. 『大きい』(『多い』)『ほうの』,いっそう重要な / (音階が)長調の,長音階の / 《英》《昔の学校で同姓または兄弟生徒を区別するために姓の後につけて》年長の,兄の / 《しばしばM-》陸軍(空軍)少佐 / 《米》専攻科目;専攻学生 / 《the majors》《米》=major leagues / (科目を)専攻する《+『in』+『名』》
2. 乳頭;(毛根・歯根などにある)微小乳頭状突起物
3. 十二指腸の

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/01/08 04:28:52」(JST)

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Major duodenal papilla
Interior of the descending portion of the duodenum, showing bile papilla.
The pancreatic duct.
Details
Latin	papilla duodeni major
Identifiers
Dorlands /Elsevier	p_03/12610350
TA	A05.6.02.015
FMA	FMA:15074
Anatomical terminology

The major duodenal papilla is an opening of the pancreatic duct into the duodenum. The major duodenal papilla is, in most people, the primary mechanism for the secretion of bile and other enzymes that facilitate digestion.

Structure

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 major duodenal papilla is situated in the second part of the duodenum, 7-10 cm from the pylorus, at the level of the second or third lumbar vertebrae. It is surrounded by the sphincter of Oddi, and receives a mixture of pancreatic enzymes and bile from the Ampulla of Vater, which drains both the pancreatic duct and biliary system. The junction between the foregut and midgut occurs directly below the major duodenal papilla.

The major duodenal papilla is seen from the duodenum as lying within a mucosal fold. The minor duodenal papilla is situated 2cm proximal.

Variation

The major duodenal papilla is occasionally found in the third part of the duodenum, the level of the vertebrae may be L2-3, and in about 10% of people, it may not receive bile. Additionally, in a small amount of people, the primary papilla for draining the pancreas may in fact be the accessory pancreatic duct.

Clinical significance

History

The major duodenal papilla was first illustrated by Gottfreid Bidloo in 1685, although is sometimes called the papilla of Vater, after German anatomist Abraham Vater.

See also

This article uses anatomical terminology; for an overview, see anatomical terminology.

• Sphincter of Oddi
• Common bile duct
• Pancreatic duct
• Ampulla of Vater

External links

• pancreas at The Anatomy Lesson by Wesley Norman (Georgetown University)
• digest-019 — Embryo Images at University of North Carolina
• Swiss embryology (from UL, UB, and UF) sdigestive/pankreas01

References

This article incorporates text from a public domain edition of Gray's Anatomy.

UpToDate Contents

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• 1. 成人における外傷による十二指腸および膵臓損傷のマネージメント management of duodenal and pancreatic trauma in adults
• 2. BillrothII法再建後の内視鏡的逆行性胆管膵管造影（ERCP） endoscopic retrograde cholangiopancreatography ercp after billroth ii reconstruction
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• 4. 小腸腫瘍の疫学、臨床的特徴、および種類 epidemiology clinical features and types of small bowel neoplasms
• 5. 腸管閉鎖症 intestinal atresia

English Journal

• Undifferentiated carcinoma of the ampulla of Vater.

• Yamada M1, Furukawa D2, Yazawa N1, Izumi H1, Masuoka Y1, Mashiko T1, Kawaguchi Y3, Ogawa M3, Kawashima Y3, Mine T3, Hirabayashi K4, Nakagohri T1.
• Surgical case reports.Surg Case Rep.2017 Dec;3(1):9. doi: 10.1186/s40792-016-0284-9. Epub 2017 Jan 6.
• PMID 28063144

• Coadministration of proton pump inhibitors and the efficacy of capecitabine in patients with advanced adenocarcinoma of the small bowel or ampulla of vater.

• Altundag K1.
• Cancer.Cancer.2017 May 15;123(6):1074. doi: 10.1002/cncr.30553. Epub 2017 Feb 9.
• PMID 28182248

• Bevacizumab combined with capecitabine and oxaliplatin in patients with advanced adenocarcinoma of the small bowel or ampulla of vater: A single-center, open-label, phase 2 study.

• Gulhati P1, Raghav K2, Shroff RT2, Varadhachary GR2, Kopetz S2, Javle M2, Qiao W3, Wang H3, Morris J3, Wolff RA2, Overman MJ2.
• Cancer.Cancer.2017 May 15;123(6):1011-1017. doi: 10.1002/cncr.30445. Epub 2016 Nov 14.
• PMID 27859010

Japanese Journal

• 好酸球性多発血管炎性肉芽腫症（Churg-Strauss症候群）に合併した出血性胆嚢炎の1例

• 日本消化器病学会雑誌 113(2), 273-280, 2016
• NAID 130005124494

• 粘膜下局注法を併用し胆管挿管可能となった傍乳頭憩室の1例

• 日本消化器内視鏡学会雑誌 57(6), 1392-1397, 2015
• NAID 130005085956

• 膵管非癒合の背側膵に発生した膵癌の1例

• Progress of Digestive Endoscopy 86(1), 228-229, 2015
• NAID 130005084341

Related Links

• Major duodenal papilla | definition of major duodenal papilla ...

ma·jor du·o·de·nal pa·pil·la [TA] point of opening of the common bile duct and pancreatic duct into the duodenum; it is located posteriorly in the descending part of the duodenum. Synonym(s): papilla duodeni major [TA], bile papilla, papilla of Vater ...

• Major duodenal papilla - Free definitions by Babylon

Major duodenal papilla - Free definition results from over 1700 online dictionaries ... ファーター乳頭（ファーターにゅうとう、papilla Vater）とは、主膵管と総胆管が合流した共通管が十二指腸下行部に開口している部分のこと。

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★リンクテーブル★

リンク元	「大十二指腸乳頭」
関連記事	「major」「duodenal」「papilla」

「大十二指腸乳頭」

　　[★]

英

major duodenal papilla (M,Z)

ラ

papilla duodeni major

同

ファーター乳頭 Vater乳頭 Vater's papilla papilla of Vater、ファーテル乳頭

関

主膵管、総胆管、胆膵管膨大部括約筋、小十二指腸乳頭、十二指腸乳頭

「major」

　　[★]

• adj.

• 主要な、主な、専攻する、メジャーな

関

cardinal、chief、chiefly、foremost、main、mainly、master、mostly、predominant、predominantly、primarily、primary、principal、principally

　 　 　 　 　 　 　 　 　 　 　 　 　

「duodenal」

　　[★]

• adj.

• 十二指腸の

関

duodenum

　 　

「papilla」

　　[★]

• n.

• 乳頭