PL EN


Preferencje help
Widoczny [Schowaj] Abstrakt
Liczba wyników

Czasopismo

2004 | 63 | 3 |

Tytuł artykułu

The pancreaticoduodenal arteries in human foetal development

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Knowledge of the course of the pancreaticoduodenal arteries is of great importance in pancreatic surgery. Lack of care in the preparation of these vessels may lead to ischaemia or necrosis of the duodenum, the first loop of the jejunum, the head of the pancreas and even the liver, bile ducts and transverse colon. In such events, the surgeon would need to diagnose the course of the vessels and their anastomoses intraoperatively. Anatomical dissection in this special area diminishes the risk of early complications in the form of bleeding and late complications in the form of narrowing of the anastomoses, fistulas, necrosis and intestinal ileus after surgical resection or drainage. The aim of the present study was to determine the variability of the pancreaticoduodenal arteries in human foetuses. The material examined consisted of 60 human foetuses of both sexes (33 male, 27 female) from spontaneous abortion or stillbirth and ranging in age from the 16th to 38th week of prenatal life. White latex solution to of volume between 15 ml and 30 ml was injected into the thoracic aorta. The results of this were that a typical pancreatic supply from the coeliac trunk and superior mesenteric artery was observed in all cases. The coeliac trunk, splenic artery and gastroduodenal artery also appeared invariably. However, variability was observed in further generations of branches. The gastroduodenal artery with its branches, the anterior and posterior pancreaticoduodenal arteries, was constantly present. Irrespective of the sex of the foetus, in 10% of cases a large vessel was observed which ran horizontally on the anterior surface of the pancreas from head to tail and which originated in the anterior superior pancreaticoduodenal artery. We termed this vessel the “anterior pancreatic artery”. In all cases there were anterior and posterior pancreaticoduodenal arcades, but in two cases (3.3%) a double anterior pancreaticoduodenal arcade was observed.

Wydawca

-

Czasopismo

Rocznik

Tom

63

Numer

3

Opis fizyczny

p.281-284,fig.,ref.

Twórcy

  • The Ludwik Rydygier Medical University, Karlowicza 24, 85-092 Bydgoszcz, Poland
autor
autor
autor
autor

Bibliografia

  • 1. Anson BJ, Mc Vay Ch (1971) Abdominal cavity and contents. In: Anson BJ, Mc Vay Ch (eds.). Surgical anatomy. Vol. 1. W.B. Saunders Company, Philadelphia, London, Toronto, pp. 624–632.
  • 2. Bertelli E, Di Gregorio F, Bertelli L, Civeli L, Mosca S (1996) The arterial blood supply of the pancreas: a review. II. The posterior superior pancreaticoduodenal artery. An anatomical and radiological study. Surg Radiol Anat, 18: 1–9.
  • 3. Bertelli E, Di Gregorio F, Bertelli L, Civeli L, Mosca S (1996) The arterial blood supply of the pancreas: a review. III. The inferior pancreaticoduodenal artery. An anatomical review and radiological study. Surg Radiol Anat, 18: 67–74.
  • 4. Feigl W, Firbas W, Sinzinger H, Wicke L (1975) Various forms of the celiac trunk and its anastomoses with the superior mesenteric artery. Acta Anat Basel, 92: 272–284.
  • 5. Hagai H (2003) Configurational anatomy of the pancreas: its surgical relevance from ontogenetic and comparative-anatomical viewpoints. J Hepatobiliary Pancreat Surg, 10: 48–56.
  • 6. Iffy L, Jakobovits A, Westlake W, Wingate M, Caterini H, Konofsky P, Menduke H (1975) Early intrauterine development: The rate of growth of Caucasian embryos and fetuses between the 6th and 20th weeks of gestation. Pediatrics, 56: 2–10.
  • 7. Iffy L, Lavenhar M, Kaminetzky H, Jongbloet P, Wingate M (1978) The effect of maternal age, parity, fetal sex and season upon early intrauterine development. In J Gynecol Obstet, 16: 210–215
  • 8. Kaneko O (1990) The arterial distribution to the abdominal digestive organs in human fetuses. Nippon Ika Daigaku Zasshi, 57: 488–496.
  • 9. Kimura W, Nagai H (1995) Study of surgical anatomy for duodenum-preserving resection of the head of the pancreas. Ann Surg, 221: 359–363.
  • 10. Kimura W (2003) Anatomy of the head of the pancreas and various limited resection procedures for intraductal papillary-mucinous tumors of the pancreas. Nippon Geka Gakkai Zasshi, 104: 460–470.
  • 11. Koizumi M, Horiguchi M (1990) Accessory arteries supplying the human transverse colon. Acta Anat Basel, 137: 246–250.
  • 12. Michels NA (1955) Blood supply of the pancreas and the duodenum. In: Blood supply and anatomy of the upper abdominal organs with a descriptive atlas. Lippincott Company, Montreal, Philadelphia, pp. 236–247.
  • 13. Michels NA (1962) The anatomic variations of the arterial pancreaticoduodenal arcades: their import in regional resection involving the gallbladder, bile ducts, liver, pancreas and parts of the small and large intestines. J Int Coll Surg, 37: 13–40.
  • 14. Murakami G, Hirata K, Takamuro T, Mukaiya M, Hata F, Kitagawa S (1999) Vascular anatomy of the pancreaticoduodenal region: a review. J Hepatobiliary Pancreat Surg, 6: 55–68.
  • 15. Park H, Chae Y, Shin T (1992) Morphogenic development of the pancreas in the staged human embryo. Yonsei Med J, 33: 104–111.
  • 16. Sakagami S (1989) Distribution of pancreatic arteries in the human fetus. Nippon Ika Daigaku Zasshi, 56: 365–369.
  • 17. Sedlar T (1993) In: Embriologia Lekarska Langmana. Med. Tour Press Int. Warszawa.
  • 18. Tadokoro H, Kozu T, Toki F, Kobayashi M, Hayashi N (1997) Embryological fusion between the ducts of the ventral and dorsal primordia of the pancreas occurs in two manners. Pancreas, 14: 407–412.
  • 19. Williams PL, Warwick R, Dyson M, Bannister LH (eds.). (1989) Gray’s Anatomy. 37th Ed. Churchill Livingstone, London, pp. 237–238.
  • 20. Woodburne P, Olsen L (1951) The arteries of the pancreas. Anat Rec, 111: 255–262.
  • 21. Yamaguchi H, Wakiguchi S, Murakami G, Hata F, Hirata K, Shimada K, Kitamura S (2001) Blood supply to the duodenal papilla and the communicating artery between the anterior and posterior pancreaticoduodenal arterial arcades. J Hepatobiliary Pancreat Surg, 8: 238–244.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

bwmeta1.element.agro-article-bc438c3b-e7ea-49a0-ac81-2925c6f81a91
JavaScript jest wyłączony w Twojej przeglądarce internetowej. Włącz go, a następnie odśwież stronę, aby móc w pełni z niej korzystać.