Anatomia Clinica

, Volume 6, Issue 2, pp 109–116 | Cite as

A radio-anatomical study in vivo on pancreatic ducts

  • E. Darnis
  • P. Cronier
  • P. Mercier
  • P. Moreau
  • J. Pillet
  • J. Boyer
Original Papers

Summary

Pancreatography using fibroscopy is current practice in medicine and contributes to the diagnosis of diseases of the pancreas. The radiographic images obtained generally represent oblique projections which have little in common with classic anatomical diagrams.

An analysis of 60 pancreatographic investigations considered normal (out of a series of 400 investigations made on various diseases of the pancreas) has been followed by a comparison between these radiographic results obtained in vivo with diverse anatomical classifications in current use. The conclusion is reached that pancreatography is morphologically reliable and that there is no correlation between the mode of ramification of the ducts and pathological conditions (with the exception of the pancreas divisum and the annular pancreas).

Key words

Pancreatic ducts Pancreatography Anatomical radiology 

Etude radio-anatomique in vivo des canaux pancréatiques

Résumé

L'usage de la pancréatographie sur le vivant, réalisée par fibroscopie, est devenu courant et contribue au diagnostic de nombreuses affections du pancréas. Les images radiographiques obtenues représentent généralement des projections obliques difficilement comparables aux schémas anatomiques classiques.

L'analyse de 60 dossiers de pancréatographies considérées comme normales (sur une série de 400 explorations réalisées pour des affections variées du pancréas) permet de comparer ces aspects in vivo aux diverses classifications anatomiques en usage. Elle permet de conclure à la fiabilité morphologique de la pancréatographie in vivo et à l'absence de corrélation entre le mode de ramescence et la pathologie (à l'exception du pancréas divisum et du pancréas annulaire).

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References

  1. 1.
    Berland LL, Lawson TL, Stewart ET (1981) CT scan of the normal and abnormal pancreatic duct. Radiology 141:715–724PubMedGoogle Scholar
  2. 2.
    Berman LG, Prior JT, Ziegler DD (1960) A study of the pancratic duct system in man by the use of VA casts of post-mortem preparation. Surg Gynecol Obstet 110:391–408PubMedGoogle Scholar
  3. 3.
    Classen M (1973) Anatomy of the pancreatic duct. Endoscopy 5:14–17Google Scholar
  4. 4.
    Cooperman M, Ferrara JJ, Fromkes JJ (1981) Idiopathic acute pancreatitis: the values of ERCP. Surgery 90:666–670PubMedGoogle Scholar
  5. 5a.
    Cordier G, Arsac M (1952) Le canal de Wirsung: précision sur sa topographie. J Chir 68:505–517Google Scholar
  6. 5b.
    Cremer M, Toussaint J, Hermanus A, Deltendre M, Detoeuf F, Engelholm L, Hanssens JF, Boyasio M, Fraiture P, Muller P (1976) Les pancréatites chroniques primitives. Classification sur base de la pancréatographie endoscopique. Acta Gastroenterol Belg 39:522–546PubMedGoogle Scholar
  7. 6.
    Fanello S, Boyer J, Joubaud F (1983) La pancréaticographie rétrograde per-endoscopique. Quest Médical 32:55–59Google Scholar
  8. 7.
    Freeny PC, Marks WM, Ball TJ (1982) Impact of CT scan of the pancreas on utilization of ERCP and angiography. Diagn Radiol 142:35–39Google Scholar
  9. 8.
    Frey CF, Burdige EJ, Meinke TG, Belber J (1982) ERCP Am J Surg 144:109–114Google Scholar
  10. 9a.
    Goldberg HI, Bilbao MK, Moss AA (1976) ERCP, radiographic technique. Dig Dis Sci 21:270–278Google Scholar
  11. 9b.
    Lloyd-Jones JW, Mountain JC, Warren KW (1972) Annular pancreas in the adult. Ann Surg 176:163–170PubMedGoogle Scholar
  12. 10.
    Kasugai T, Kuno N, Kobayashi J, Hattori K (1972) Endoscopic pancreato-cholangiography: the normal ERCP. Gastroenterology 63:217–226PubMedGoogle Scholar
  13. 11.
    Kasugai T, Kuno N, Kobayashi S, Hattori K (1972) Endoscopic pancreatocholangiography: the pathological ERCP. Gastroenterology 63:227–234PubMedGoogle Scholar
  14. 12.
    Moss AA, Federle M, Clemett A (1980) The combined use of CT scan and ERCP in the assessment of suspected pancreatic neoplasm. Radiology 134:159–163PubMedGoogle Scholar
  15. 13.
    Nagata A, Homma T, Oda M (1981) A study of chronic pancreatitis by serial ERCP. Gastroenterology 884–891Google Scholar
  16. 14.
    Rachail M (1958) Contribution à l'étude morphologique des canaux excréteurs du pancréas. Thèse Doctorat, Lyon p 190Google Scholar
  17. 15.
    Robbins AH, Messian RA, Ogoshi K (1974) ERCP an analysis of the radiologic findings in pancreatitis. Diagn Radiol 113:293–296Google Scholar
  18. 16.
    Smanio T (1969) Proposed nomenclature and classification. Int Surg 52:125–133PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1984

Authors and Affiliations

  • E. Darnis
    • 1
  • P. Cronier
    • 1
  • P. Mercier
    • 1
  • P. Moreau
    • 1
  • J. Pillet
    • 1
  • J. Boyer
    • 2
  1. 1.Faculté de MédecineLaboratoire d'AnatomieAngersFrance
  2. 2.Clinique médicale ACHUAngersFrance

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