42. Formation of Pancreatic Ducts| Pancreatic Anatomy for NEET PG, USMLE, FMGE & MBBS 💯
Автор: MedSchool Simplified – High Yield Medical Lectures
Загружено: 2025-05-22
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Ducts of Pancreas Explained | Pancreatic Anatomy for NEET PG, USMLE, FMGE & MBBS 💯
The ductal system of the pancreas plays a central role in transporting vital digestive enzymes to the duodenum, and its anatomy is clinically significant in disorders like pancreatitis, pancreatic tumors, and biliary obstruction 🧠🩺.
Main Ducts of the Pancreas:
• Main Pancreatic Duct (Duct of Wirsung):
– Begins in the tail and runs through the body and head of the pancreas
– Joins with the common bile duct (CBD) to form the hepatopancreatic ampulla (Ampulla of Vater)
– Opens into the 2nd part of the duodenum at the major duodenal papilla
– Regulated by the sphincter of Oddi 🔁🟡
• Accessory Pancreatic Duct (Duct of Santorini):
– Arises from the upper part of the head of the pancreas
– May or may not communicate with the main pancreatic duct
– Drains separately into the minor duodenal papilla, located above the major papilla
– Variably present; absent in ~40% of individuals ⚠️
Clinical Significance:
• Pancreas divisum – congenital anomaly due to failure of fusion of the ducts; most pancreatic secretions drain via the accessory duct, predisposing to recurrent pancreatitis 🔄
• Obstruction of the duct of Wirsung – leads to acute pancreatitis and pancreatic ductal hypertension
• ERCP (Endoscopic Retrograde Cholangiopancreatography) and MRCP are imaging techniques to visualize pancreatic duct anatomy 🧲🔬
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