Major duodenal papilla and its normal anatomy.
نویسندگان
چکیده
The major duodenal papilla (papilla of Vater) is the point where the dilated junction of the bile and pancreatic ducts (ampulla of Vater) enter the duodenum. The ampulla is surrounded by the sphincter of Oddi, which not only controls the flow of bile and pancreatic juice into the duodenum, but also prevents the reflux of duodenal contents, bile and pancreatic juice into the bile and pancreatic ducts.
منابع مشابه
Laparoscopy-assisted transduodenal papillectomy.
BACKGROUND/AIMS Basically, patients with cancer of the major duodenal papilla should undergo pylorus-preserving pancreatoduodenectomy; however, patients with adenoma or cancer in adenoma do not require prophylactic lymph node dissection, so they are indicated for limited resection of the major duodenal papilla. Endoscopic snare resection (ESR) has developed as limited resection of the major duo...
متن کاملMajor duodenal papilla in autoimmune pancreatitis.
Autoimmune pancreatitis (AIP) is a distinctive form of chronic pancreatitis that can mimic pancreatobiliary malignancies. If AIP is properly diagnosed, it can be treated without laparotomy or pancreatic resection due to its dramatic response to steroid therapy. In addition to elevated serum IgG4 levels, IgG4 immunostaining of involved tissue is often used to support the diagnosis of AIP. The ma...
متن کاملDuodenal duplication cyst causing acute recurrent pancreatitis, managed curatively by endoscopic marsupialization.
Duodenal duplication cyst (DDC) is a rare congenital anomaly that typically presents with symptoms during childhood [1]. Acute pancreatitis and biliary obstruction have rarely been reported in adults [2,3]. Twomodalities of treatment havebeendescribed for DDCs: surgical [4,5] and endoscopic, by means of cyst marsupialization [1]. The rationale behind cyst marsupialization is to establish commun...
متن کاملLetter to the Editor Carcinoid of the Minor Duodenal Papilla Associated with Pancreas Divisum: Case Report and Review of the Literature
Carcinoid tumors of Vater’s ampulla are the most common among the extremely rare primary ampullary neuroendocrine tumors, accounting for less than 0.35% of all gastrointestinal carcinoids and are frequently associated with Von Recklinghausen’s disease. Carcinoid tumors of Vater’s ampulla are difficult to diagnose preoperatively because of their relatively small size and submucosal location. Con...
متن کاملPrimary Adenocarcinoma of the Minor Duodenal Papilla
A 70-year-old man was admitted to our institution due to aggravation of blood-sugar level control and because an abdominal CT showed dilatation of the main pancreatic duct. Upper gastrointestinal endoscopy revealed a flat elevated tumor with central ulceration in the second portion of the duodenum. Subsequent duodenoscopy for a more detailed examination showed that the tumor had originated in t...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Digestive surgery
دوره 27 2 شماره
صفحات -
تاریخ انتشار 2010