THE TERMINAL PORTION OF THE COMMON BILE DUCT AND OF THE PANCREATIC DUCT OF WIRSUNG

1954 ◽  
Vol 23 (3) ◽  
pp. 223-235 ◽  
Author(s):  
E. S. R. Hughes ◽  
R. H. Kernutt
2019 ◽  
Vol 17 (Sup8) ◽  
pp. S8-S14
Author(s):  
Muhammad Waqas Fazal ◽  
Maria Tan ◽  
Shyam Menon

Endoscopic retrograde cholangiopancreatography (ERCP) facilitates endoscopic access to the common bile duct and pancreatic duct. It has become central to the management of a variety of benign and malignant pancreatobiliary disorders. ERCP remains a technically challenging procedure and patient selection and pre-assessment is critical to ensure good clinical outcomes. Staff assisting in ERCP should familiarise themselves with the underlying principles and basic knowledge pertaining to various aspects of ERCP.


2020 ◽  
Vol 10 (4) ◽  
pp. 392-396
Author(s):  
Rani Abu Elgasim ◽  
Ahmed Abukonna ◽  
Ala Elgyoum ◽  
Mogahid Zidan ◽  
Mustafa Mahmoud ◽  
...  

The purpose of our study was to evaluate the common bile duct (CBD) and pancreatic duct (PD) diameter among healthy adult Sudanese subjects using magnetic resonance cholangiopancreatography (MRCP). In addition, this study aimed to determine the effects of age, gender, and body height and weight on the CBD and PD diameters to establish a reference range for these ducts on MRCP, which is very useful in a daily clinical setting where MRCP is commonly performed to evaluate suspected biliary tract disease. Methods and Results: This study included 80 asymptomatic subjects who underwent MRCP. The widest diameter of the CBD and PD was measured perpendicular to their long axes using the electronic caliper. The applied MRCP imaging technique was in line with the guidelines used by Chen et al.(2012) The age, gender, medical history, body height and body weight were recorded. Among the 80 subjects, the mean CBD diameter on MRCP was 6.17±0.69 mm (range of 4-8 mm). There was a significant correlation between the CBD diameter and weight (r=0.407, P<0.001). The mean PD diameter on MRCP was 3.80±0.50mm (range of 2-5 mm). There was also a significant correlation between the PD diameter and weight (r=0.407, P<0.001). In the cohort of 80 subjects, the mean CBD diameter in females was larger than in males(6.50±0.632mm and 5.95±0.677mm, respectively), and this difference was statistically significant (P<0.05). Also, the mean PD diameter in females was statistically larger than in males (6.03±0.66mm and 5.58±0.675mm, respectively), and this difference was statistically significant (P<0.05). Our results demonstrate no significant correlation between the diameter of CBD and PD and participants' height and age. Conclusion: The importance of the current study lies in it’s being one of the few studies whose intention was to use MRCP to bridge the knowledge gap in the literature about the measurement of the CBD and PD diameter among healthy adult Sudanese subjects.


Pancreatology ◽  
2018 ◽  
Vol 18 (4) ◽  
pp. S61
Author(s):  
Georg Beyer ◽  
Florian Kasprowicz ◽  
Anke Hannemann ◽  
Ali Aghdassi ◽  
Henry Völzke ◽  
...  

2016 ◽  
Vol 98 (6) ◽  
pp. e92-e93 ◽  
Author(s):  
M Kostalas ◽  
P Jackson ◽  
N Karanjia

Introduction Brunner’s glands are submucosal glands found in the duodenum. Proliferation of these glands can lead to the formation of Brunner’s gland hamartomas (BGHs), which are uncommon, asymptomatic and usually found incidentally. They are predominantly benign lesions, but instances of malignant transformation have been reported. Case History We describe a rare case in which a periampullary lesion was causing biliary obstruction on a background of weight loss, and was associated with dilatation of the common bile duct and pancreatic duct on computed tomography and magnetic resonance imaging. Further investigation with endoscopic ultrasound and biopsy did not provide a definitive diagnosis. Given the symptoms and findings upon investigations, we proceeded to pylorus-preserving pancreatoduodenectomy. Conclusions This was a rare case in which BGH gave rise to biliary obstruction against a background of weight loss. Due to a high index of suspicion (weight loss and evidence of dilatation of the common bile duct and pancreatic duct), this procedure was justified because the consequences of a missed periampullary cancer far outweighed surgical risks.


1993 ◽  
Vol 74 (3) ◽  
pp. 228-230
Author(s):  
I. I. Kamalov

Changes of an inflammatory, tumor nature in the biliary tract are primarily associated with various disorders of the gastrointestinal tract. Cholecystitis is usually accompanied by duodenal dyskinesia. With acalculous cholecystitis (32 obs.), Hypomotor dyskinesia occurs, with calculous cholecystitis (68 obs.), Hypermotor dyskinesia of the duodenum. Various forms of cholecystitis (calculous, bacterial, parasitic, enzymatic) and, less often, pancreatitis develops secondarily. The primary driver of their development is impaired motility of the duodenum. In the pancreatic duct, the pressure is 98 Pa higher than in the common bile duct, -981 Pa.


2015 ◽  
Vol 45 (8) ◽  
pp. 1153-1159 ◽  
Author(s):  
Kriti Gwal ◽  
Maria A. Bedoya ◽  
Neal Patel ◽  
Siri J. Rambhatla ◽  
Kassa Darge ◽  
...  

Author(s):  
Christine U. Lee ◽  
James F. Glockner

67-year-old man with dilated bile ducts and a pancreatic mass on US VR image from 3D FRFSE MRCP (Figure 4.27.1) reveals obstruction of the common bile duct and the pancreatic duct at the level of the pancreatic head. Coronal fat-suppressed 2D SSFP images (...


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