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Vestnik Khirurgii Imeni I. I. Grekova Jun 1984Brief clinico-rentgenological characteristics of annular pancreas are described on the basis of 5 personal clinical observations and literature data. Recommendations for...
Brief clinico-rentgenological characteristics of annular pancreas are described on the basis of 5 personal clinical observations and literature data. Recommendations for choosing the optimal surgical procedures are given. Collateral anastomoses are thought to be expedient in combination with vagotomy or without them.
Topics: Adult; Female; Humans; Male; Pancreas
PubMed: 6474696
DOI: No ID Found -
Khirurgiia 1995
Topics: Adult; Duodenum; Humans; Male; Pancreas; Tomography, X-Ray Computed
PubMed: 8569128
DOI: No ID Found -
Khirurgiia Oct 1981
Topics: Humans; Male; Middle Aged; Pancreas
PubMed: 7332633
DOI: No ID Found -
Gut Jan 1989A patient with annular pancreas presenting with severe upper abdominal pain is discussed. Endoscopic retrograde cholangiopancreatography (ERCP) was diagnostic, with...
A patient with annular pancreas presenting with severe upper abdominal pain is discussed. Endoscopic retrograde cholangiopancreatography (ERCP) was diagnostic, with successful injection of major and minor papillae showing pancreas divisum, an annular duct emptying at the major papilla and changes of severe chronic pancreatitis in all duct systems. Pylorus preserving pancreatoduodenectomy gave complete pain relief. The annulus was shown immunohistochemically to be entirely of ventral gland origin. Chronic pancreatitis was histologically less severe in the dorsal gland. Antegrade dye injection with x-ray showed dorsal to ventral connection in the resected specimen.
Topics: Adult; Chronic Disease; Duodenum; Endoscopy; Humans; Male; Pancreas; Pancreatitis; Radiography
PubMed: 2920917
DOI: 10.1136/gut.30.1.130 -
Islets 2010Islet transplantation is a safe and effective procedure; however, it depends on the critical step of isolating high quality of islets from whole pancreas. Human islet... (Review)
Review
Islet transplantation is a safe and effective procedure; however, it depends on the critical step of isolating high quality of islets from whole pancreas. Human islet isolation requires considerable experience and expertise, and is frequently seen as 'an art rather than a science'. However, without scientific knowledge of pancreatic anatomy, real experience can not be gained. In particular, an understanding ductal anatomy is important to perform human islet isolation. This review is based on clinical experience of more than 900 human islet isolations performed over 10 years and aims to highlight pancreatic anatomy and surgical techniques in islet processing.
Topics: Humans; Islets of Langerhans; Islets of Langerhans Transplantation; Pancreas; Pancreatic Neoplasms; Tissue and Organ Harvesting
PubMed: 21099323
DOI: 10.4161/isl.2.5.13019 -
Journal of Hepato-biliary-pancreatic... 2000The fusion fascia of the head of the pancreas is called the "fusion fascia of Treitz" and that of the body and tail of the pancreas is termed the "fusion fascia of...
The fusion fascia of the head of the pancreas is called the "fusion fascia of Treitz" and that of the body and tail of the pancreas is termed the "fusion fascia of Toldt". The fusion fascia is histologically composed of a loose connective tissue membrane. All of the important pancreaticoduodenal arcades of arteries and veins are situated on this membrane, i.e., between this membrane and the pancreatic parenchyma. The topography of the head of the pancreas shows that, after departing from the gastroducodenal artery, the anterior superior pancreaticoduodenal artery runs toward a point 1.5 cm below the papilla of Vater, then turns to the posterior aspect of the pancreas to join the anterior inferior pancreaticoduodenal artery. For preserving the duodenum, the artery toward the papilla is very important. The artery toward the papilla of Vater runs along the right side of the common bile duct after departing from the posterior superior pancreaticoduodenal artery. The gastrocolic trunk of Henle has been reported to be found in about 60% of individuals. It is possible that the gastroepiploic vein and anterior superior pancreaticoduodenal vein (ASPDV) can be divided at pancreaticoduodenectomy, with preservation of the superior right colic vein, if this area is free of carcinoma. The ASPDV and anterior inferior pancreaticoduodenal vein form an arcade on the anterior surface of the pancreas. However, arcade formation was not found between the posterior superior pancreaticoduodenal vein and posterior inferior pancreaticoduodenal vein in many of the individuals examined. The vein joined by the inferior mesenteric vein was also investigated.
Topics: Humans; Pancreas; Pancreatectomy; Pancreaticoduodenectomy
PubMed: 11180873
DOI: 10.1007/s005340070017 -
World Journal of Gastroenterology Dec 2013Traumatic injury to the pancreas is rare and difficult to diagnose. In contrast, traumatic injuries to the liver, spleen and kidney are common and are usually identified... (Review)
Review
Traumatic injury to the pancreas is rare and difficult to diagnose. In contrast, traumatic injuries to the liver, spleen and kidney are common and are usually identified with ease by imaging modalities. Pancreatic injuries are usually subtle to identify by different diagnostic imaging modalities, and these injuries are often overlooked in cases with extensive multiorgan trauma. The most evident findings of pancreatic injury are post-traumatic pancreatitis with blood, edema, and soft tissue infiltration of the anterior pararenal space. The alterations of post-traumatic pancreatitis may not be visualized within several hours following trauma as they are time dependent. Delayed diagnoses of traumatic pancreatic injuries are associated with high morbidity and mortality. Imaging plays an important role in diagnosis of pancreatic injuries because early recognition of the disruption of the main pancreatic duct is important. We reviewed our experience with the use of various imaging modalities for diagnosis of blunt pancreatic trauma.
Topics: Animals; Diagnostic Imaging; Humans; Injury Severity Score; Pancreas; Predictive Value of Tests; Prognosis; Radiography; Ultrasonography; Wounds and Injuries
PubMed: 24379625
DOI: 10.3748/wjg.v19.i47.9003 -
Pancreas Oct 2003Pancreatic cancer invasion via neural routes (perineural invasion) has been studied extensively, but detailed research on the morphology of innervation of the pancreas...
INTRODUCTION
Pancreatic cancer invasion via neural routes (perineural invasion) has been studied extensively, but detailed research on the morphology of innervation of the pancreas related to perineural invasion is scarce.
AIMS
To clarify the morphology of neural distribution in the human pancreas.
METHODOLOGY
The pancreas and surrounding structures were dissected in 9 cadavers, the specimens were immersed in a 0.001% solution of alizarin red S in ethanol to stain the peripheral nerves, and the detailed distribution was studied to confirm the extrapancreatic and intrapancreatic plexus using a binocular microscope.
RESULTS
The innervation of the uncinate process of the pancreas originated from the superior mesenteric plexus (SMPlx) along the inferior pancreaticoduodenal artery (IPDA), but did not form a wide offshoot of nerve bundles as reported. Concerning the innervation of the body and tail, it was found that the nerve fibers entered the pancreas immediately after leaving the celiac plexus, and were distributed around the pancreatic duct in a twig-like manner.
CONCLUSION
It was emphasized that the nerve originating from SMPlx to the uncinate process chiefly ran along the IPDA and it was necessary to focus one's attention not only on the extrapancreatic perineural invasion but also on the intrapancreatic perineural invasion in carcinoma of the body and tail of the pancreas.
Topics: Aged; Aged, 80 and over; Anthraquinones; Cadaver; Female; Humans; Male; Middle Aged; Pancreas; Pancreatic Neoplasms
PubMed: 14508126
DOI: 10.1097/00006676-200310000-00005 -
Cell Differentiation and Development :... Mar 1990
Review
Topics: Animals; Cell Differentiation; Pancreas; Rats; Stem Cells
PubMed: 2190679
DOI: 10.1016/0922-3371(90)90118-g -
Advances in Experimental Medicine and... 2010
Review
Topics: Animals; Humans; Islets of Langerhans; Pancreas; Pancreas, Exocrine; Pancreatic Ducts; Pancreatic Stellate Cells; Renin-Angiotensin System
PubMed: 20700839
DOI: 10.1007/978-90-481-9060-7_6