Does everyone have an accessory pancreatic duct?

Does everyone have an accessory pancreatic duct?

Most people have just one pancreatic duct. However, some have an additional accessory pancreatic duct, also called the Duct of Santorini.

What is the accessory pancreatic duct?

Abstract. The accessory pancreatic duct (APD) is the main drainage duct of the dorsal pancreatic bud in the embryo, entering the duodenum at the minor duodenal papilla (MIP). With the growth, the duct of the dorsal bud undergoes varying degrees of atrophy at the duodenal end.

What is accessory pancreas?

Accessory pancreas is a rare condition in which small groups of pancreatic cells are separate from the pancreas. They may occur in the mesentery of the small intestine, the wall of the duodenum, the upper part of the jejunum, or more rarely, in the wall of the stomach, ileum, gallbladder or spleen.

How common is accessory pancreatic duct?

The major duodenal papilla typically receives the common bile duct and major pancreatic duct, whereas a minor duodenal papilla is only present in cats, in which an accessory pancreatic duct persists. This reportedly occurs in approximately 20% of animals.

What is accessory pancreatic duct?

How rare is annular pancreas?

Instead, a ring of extra pancreatic tissue forms around the first part of your small intestine. It surrounds the duodenum (the wide, short part of the small intestine) and goes all the way to the pancreas. Doctors have yet to find out why this happens, although it only affects 5 to 15 babies out of 100,000 births.

How do you treat an annular pancreas?

The definitive treatment of the annular pancreas is surgery, which can resolve a duodenal obstruction that causes symptoms. Bypass is superior to local resection of the annular pancreas, which may be complicated with postoperative pancreatitis, pancreatic fistula, or recurrent duodenal stenosis.

What happens if pancreatic duct is blocked?

When the bile ducts are blocked, retention of bile salts in the blood can result also in considerable itching (pruritus). Blockage of the bile ducts or pancreatic ducts can cause pain due to overdistention. Lack of insulin secretion by the pancreas results in diabetes.

Where does the pancreatic duct lead to?

A large main duct, the duct of Wirsung, collects pancreatic juice and empties into the duodenum. In many individuals a smaller duct (the duct of Santorini) also empties into the duodenum. Enzymes active in the digestion of carbohydrates, fat, and protein continuously flow from the pancreas through these ducts.