大十二指腸乳頭。ファーター乳頭
WordNet
- (botany) a tiny outgrowth on the surface of a petal or leaf
- a small nipple-shaped protuberance concerned with taste, touch, or smell; "the papillae of the tongue"
- a small projection of tissue at the base of a hair or tooth or feather
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)
- 乳頭;(毛根・歯根などにある)微小乳頭状突起物
- 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）』「2016/12/11 02:15:25」(JST)
[Wiki en表示]
| Major duodenal papilla |
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Interior of the descending portion of the duodenum, showing bile papilla.
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The pancreatic duct.
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| Details |
| Identifiers |
| Latin |
papilla duodeni major |
| TA |
A05.6.02.015 |
| FMA |
15074 |
| Anatomical terminology
[edit on Wikidata]
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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.
Contents
- 1 Structure
- 2 Clinical significance
- 3 History
- 4 See also
- 5 External links
- 6 References
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. 15. Pancreas: 16: Accessory pancreatic duct, 17: Pancreatic duct.
18. Small intestine: 19. Duodenum, 20. Jejunum
21–22: 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.[1] The junction between the foregut and midgut occurs directly below the major duodenal papilla.[2] :274
The major duodenal papilla is seen from the duodenum as lying within a mucosal fold. The minor duodenal papilla is situated 2cm proximal.[1]
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 number of people, the primary papilla for draining the pancreas may in fact be the accessory pancreatic duct.[1]
Clinical significance
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This section needs expansion. You can help by adding to it. (November 2013) |
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.[1]
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 in the public domain from the 20th edition of Gray's Anatomy (1918)
- ^ a b c d Skandalakis, editor in chief John E. (2004). Skandalakis' surgical anatomy : the embryologic and anatomic basis of modern surgery. Athens, Greece: PMP. pp. Chapter 16: Small Intestine; Chapter 21:Pancreas, sections titled "Major duodenal papilla". ISBN 9603990744.
- ^ Drake, Richard L.; Vogl, Wayne; Tibbitts, Adam W.M. Mitchell; illustrations by Richard; Richardson, Paul (2005). Gray's anatomy for students. Philadelphia: Elsevier/Churchill Livingstone. ISBN 978-0-8089-2306-0.
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Anatomy of the Gastrointestinal tract, excluding the mouth
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| Upper |
| Pharynx |
- Muscles
- Spaces
- peripharyngeal
- retropharyngeal
- parapharyngeal
- retrovisceral
- danger
- prevertebral
- Pterygomandibular raphe
- Pharyngeal raphe
- Buccopharyngeal fascia
- Pharyngobasilar fascia
- Piriform sinus
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| Esophagus |
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| Stomach |
- Curvatures
- greater
- lesser
- Angular incisure
- Cardia
- Body
- Fundus
- Pylorus
- Gastric mucosa
- Gastric folds
- Microanatomy
- Gastric pits
- Gastric glands
- Cardiac glands
- Fundic glands
- Pyloric glands
- Foveolar cell
- Parietal cell
- Gastric chief cell
- Enterochromaffin-like cell
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| Lower |
| Small intestine |
| Microanatomy |
- Intestinal villus
- Intestinal gland
- Enterocyte
- Enteroendocrine cell
- Goblet cell
- Paneth cell
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| Duodenum |
- Suspensory muscle
- Major duodenal papilla
- Minor duodenal papilla
- Duodenojejunal flexure
- Brunner's glands
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| Jejunum |
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| Ileum |
- Ileocecal valve
- Peyer's patches
- Microfold cell
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| Large |
| Cecum |
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| Colon |
- Ascending colon
- Hepatic flexure
- Transverse colon
- Splenic flexure
- Descending colon
- Sigmoid colon
- Continuous
- taenia coli
- haustra
- epiploic appendix
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| Rectum |
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| Anal canal |
- Anus
- Anal columns
- Anal valves
- Anal sinuses
- Pectinate line
- Internal anal sphincter
- Intersphincteric groove
- External anal sphincter
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| Wall |
- Serosa / Adventitia
- Subserosa
- Muscular layer
- Submucosa
- Circular folds
- Mucosa
- Muscularis mucosa
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UpToDate Contents
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English Journal
- Gemcitabine and oxaliplatin with or without erlotinib in advanced biliary-tract cancer: a multicentre, open-label, randomised, phase 3 study.
- Lee J, Park SH, Chang HM, Kim JS, Choi HJ, Lee MA, Chang JS, Jeung HC, Kang JH, Lee HW, Shin DB, Kang HJ, Sun JM, Park JO, Park YS, Kang WK, Lim HY.SourceDivision of Haematology-Oncology, Department of Medicine, Sungkyunkwan University School of Medicine, Samsung Medical Centre, Seoul, South Korea.
- The lancet oncology.Lancet Oncol.2011 Dec 20. [Epub ahead of print]
- BACKGROUND: Combination chemotherapy with gemcitabine and a platinum-based agent is regarded as a standard treatment for patients with advanced biliary-tract cancer. Results of phase 2 trials of single-agent erlotinib in biliary-tract cancer and of gemcitabine plus erlotinib in pancreatic cancer hav
- PMID 22192731
Japanese Journal
- 乳頭部癌に対する膵頭十二指腸切除におけるリンパ節郭清と神経叢郭清のポイント (特集 十二指腸乳頭部癌のすべて) -- (治療・手術)
- 十二指腸乳頭部腫瘍に対する腹腔鏡下切除の展望 (特集 十二指腸乳頭部病変に対する新たな治療戦略 : 新規約・新ガイドラインに基づいて) -- (外科的治療アプローチ)
- リンパ節転移率からみた十二指腸乳頭部癌に対する至適術式 (特集 十二指腸乳頭部病変に対する新たな治療戦略 : 新規約・新ガイドラインに基づいて) -- (外科的治療アプローチ)
Related Links
- papilla [pah-pil´ah] (L.) a small, nipple-shaped projection or elevation. adj., adj pap´illary. circumvallate papilla 1. vallate papilla. 2. one of the papillae in the area next to a vallate papilla. conical papilla one of the sparsely scattered ...
- 270 Centre Street - Unit D | Holbrook, MA 02343 USA | 781.767.1877 | info@vater.com Download 2016 Catalog
★リンクテーブル★
[★]
- 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
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