Tamara Alempijevic1, Bojan Stimec, Nada Kovacevic. 1. Clinic of Gastroenterology and Hepatology, Institute for Digestive Diseases, Clinical Center of Serbia, Dr Koste Todorovica 6, 11000 Belgrade, Serbia.
Abstract
BACKGROUND: Clinical expression of pancreas divisum is often explained as a consequence of relative or true stenosis of the minor papilla with dorsal duct obstruction. This anatomo-functional study of the minor papilla in pancreas divisum has included its topographical, functional and structural features. MATERIALS AND METHODS: The study was carried out on 37 human autopsy specimens of duodenopancreas, which underwent pancreatography, manometrically controlled perfusion and light microscopy. RESULTS: One pancreas divisum was detected in the study group. In this case, the distances between the minor and the major papilla was 24.0 mm, and between the minor papilla and the superior duodenal flexure 27.4 mm. The minor papilla was patent when perfused under pressure of 10 mmHg, and its light microscopy revealed regular global histological organization with only light fibrosis and no cellular atypia. CONCLUSIONS: The structure and position of the minor papilla in pancreas divisum did not significantly differ from the ones in fused pancreases.
BACKGROUND: Clinical expression of pancreas divisum is often explained as a consequence of relative or true stenosis of the minor papilla with dorsal duct obstruction. This anatomo-functional study of the minor papilla in pancreas divisum has included its topographical, functional and structural features. MATERIALS AND METHODS: The study was carried out on 37 human autopsy specimens of duodenopancreas, which underwent pancreatography, manometrically controlled perfusion and light microscopy. RESULTS: One pancreas divisum was detected in the study group. In this case, the distances between the minor and the major papilla was 24.0 mm, and between the minor papilla and the superior duodenal flexure 27.4 mm. The minor papilla was patent when perfused under pressure of 10 mmHg, and its light microscopy revealed regular global histological organization with only light fibrosis and no cellular atypia. CONCLUSIONS: The structure and position of the minor papilla in pancreas divisum did not significantly differ from the ones in fused pancreases.
Authors: Bojan Stimec; Tamara Alempijevic; Marjan Micev; Miroslav Milicevic; Tatjana Ille; Nada Kovacevic; Mirko Bulajic Journal: Ann Anat Date: 2005-04 Impact factor: 2.698
Authors: M H Kim; S S Lee; C D Kim; S K Lee; H J Kim; H J Park; Y H Joo; D I Kim; K S Yoo; D W Seo; Y I Min Journal: Endoscopy Date: 2001-09 Impact factor: 10.093