Pancreas

EMBRIO PANCREAS

30 bite
endoderm pancreatic ventralildeoineproasuna.mil
) mugurii -

sendeorarea-phu.a.IE
- -
-

duodenal alipifip-anainsapt.to inferior magnet • gaze

de
dorsal

parenchimult.hu/elecoadaT-uti{oNEAtA-
dorsal = >
cap
v corp
sñpt 8
RLhh.is?-:faYenjuneIceleide-a2porfiaN
:
>

DUODEN
eau2-oobtucfiecopii.mg

ftp.adf.affirp?nan.pga-:forformatprinfioiuneaporfi
'

taro an

uni lor histale dude ventral TRAI

:•ag;ta¥↓hi;¥;%%¥¥0BˢTRⁿ-
1-
dorsal ;¥÷:¥::::;;÷an•ak

comunaecaleabiliaraprinapakpo-tunlee-nueodenpn.in
meata- canal
Amputee - Vater
↳ finder Oddilpapila duodenala- mare )

populations

/
la lot .
v

Por!iunea lui distala-

fuoioneatñ complet
:
"

" ""

"
ÑᵈÑᵈ *
"
* ""
"" "" " " "
" """

PANCREAS Division Duct dorsal persistent * se obliterate

Got
asimpt Daeng in laden prin Santorini
'
.
- .

recurrent
-

oporkunecappancreatio-iproasuncinat-PANCREAD.
episode -

TN
Dreneata in
papila duodenala- mare

ACUTA-lapancreasultirisumoimptomaticn-gn.fE.pt { P
"
votum secreta din -

glandaobstrugtierelah.ua
.

pancreatic premiere intra

ductalñ dorsala- mare in
AMATO PANCREAS active
timpulsecrek.ee
↓
I marcheatajoncfiuneycap
VMS
disk nie hietala
-

•
iotmsituatimeik.at terms
superior herere
inhale
•

carpal se
tasting ale UMS
• pancreatitis
Pious uncinat
prehengireposterioaro.in/en.oara-acapuhi pancreatic
:

TRUN CHI CELIAC vase .

PROENTERONULCoalai.ee
mail.is/-ala-porfiuneseextindespoehilsplinapeeareilspoijina
a

sometimes
VASCUM-pif-TE.VARIA.li
1- RUNChi

Tr Celiac =
gastica otg +
AREA?"
.

hepatica muña 25.1

•
.

pop
are a. hepatica
✓

⊕
vase
apta reverenta- / total a-
}
.

T • ↳
R stangasplenica-
FEI
•

FURCA v

in Ams s gastrica- stay .

Ankle: direct int celiac

pancreatic
{
rar -
save
> cap saerté
Oden lupñ 0
hepatica comuni

> prin AGD ( gastro

duodenalat A-
t.gasto-doodenalopoateorigino.in
(A GD ) A. HEPATICA DR .

A-READE duodenale I A.) post

ten: ;
pancreatic -
-

hip i an .
 interconnect TR celiac + AMS
pancreatic
e)
R
cap jcoada
.

>
A.splenic a- → -

origine tif
t.pe#ahaYa
Pancreas
AGD →

20%
populate lipsñarlerahepdr
: _
.

AMSvasc.lobhepah.CA
.
hepdr . Lin AMS
contrast
{
Ctu
(7) rkra-hepdn.namentofaccesocie
'
t A intraoperator
Perle anterior
AORTA ABD Arteta hep otñngñ
.
are cosigned in A. gastric ofg a- .

A
rleramwnterica-superioara-ivasclotmezenteronu.la
tuato post
-

imd de
pancras
Traiect interior
anterior
ind.
medial } Leprous UNCINAT

v
Anastomosis
}
Antrioara on
A. pancreaticduodenala- _

\ Posteriors ramen
'
'

OM0M ME a
INFERIOAROI a- leia superieure
Trece DOOD EN
de
-

pa-tnundee-nra-d.ME 2- ENTERON
'
Vase :
y
tot intestinsub.li
• .

• colon Inept
trans vers

Ami conecfate prin colalerale

AMS t

DRENA ] VENOS

→
Corp + coadñ : vena
splenic in terioara
pancreatic
→ Vena
mezsepoalealo-herasistemuku.int
.

PORTAL

la-oricenivelalv.sptem.e /jonckunev.rplenaeVMSDoeneahatoI- intestinal

temnale sent .

NERM-MATratamentluteresevera-pancreah.to
'

CR0M CAT
Date"
simpaticñ
made new
:

para timpatieñ
:

Pancratius
*
:;:;piac Peraltan , ghidaj
① CT
SPLANH-netv.AE
imp.pt t.tn . endocrine

nebst neuro like ② intra operator

✓

① Endoscopic ultrasound Fibre nervoase sensorial autonomic eferente

Fake EX Ocrinñ Pancreas :

lichilhogatbicarbonalcckistmuleaa-a-secre.be
secreting ( ph Loden <
3)
bicarbonate
~
contract reticulatatiara 4
'e

stimulate de : intraluminal
peptide '
Liberi
aminoacitiiacitigra.ir

¥;¥¥ /
stimulator secretion ( or le : fact .ʰ≈Ei
Li pate cck
Aceh-1 Colina
h'D
seen Tina
la PH7
Amiata singara ,
secretato FORMA Action , option .

Secrets endocrine : insulin a

glucagon labeled
'
a ,

somatostatin
TnmteLangerʰaN_
a
hormone
'

IPP )
mai ahendenle in Wada PEPtibia
Poli peptic pancreatic
UP
gala nina
serotonina

amil napancoeastatinacromogram.no
A CG8A)

Dg Pancreatitis H3 simpleme semnespecif.ee :

,

↑ amilazeleilipaielesen.ee

SIMPTOME
CT :

mohifee-nradiolog-celipicedez.chish.ee PANCREATICE
CANCER PANCREATIC
Chistadenom series :
fñra mitre
duodenale
① Carcinoma peri amputate I can knechistaier.com soon
-

Vater
• e-
clear returns maideureme _

ampula
then
ca
caput [fistadenocarcinoma series:↓Ami
late
¢19 -9
progh ACE
• .

+ mi tote

② Corp / coated
pancreas
( histadenommucinos ↑ ACE
↑
Fñrñmii .

Lever Constanta ,
19-9 stones
posteriora-
+ over
•

:ˢ:;:¥;::÷"'•ñ
chistadenocarcinommua.no :↑ ACE + mi tote
↑. • -

+ ↳ mi
ovariané

IPNM_: TACE; Displatie/t-ARA stroma

ovarian
③ Composed caudate
a-

papilarmucinosintraductaloobererispalelinvatienewite.to
:
neoplasm
peritoneal
celiac /
FEM plex
• nuprotucobstmcfiehtiara-k.mn/-ladist-decaleahtiarr
•
prognostic nefavlpoeientaretn-RA.MY
Cai biliare
 Diverhad Proenleron - arbore biliar
-

3. muguri-f.cat
µ
ventral
pancreas
reticular fi liars ( HD)

(ole cist fund

[ᵈ•
• +
= +
↑
went on canal as he
can at
hepatic
Dtept tang ;t,

Carajo man ⊕
cawnajaaifg.a-M.ro/akHeisterlconteroRlaoaergnefilalincoIea
IÉapÉaFutti liar comin

htiaro-pn-na.pe/rA.hepaticopngrie:sta-ngaVporfo-:
Dreapta : cale

posterior

Arlera eisticñ
patron de
↓ lob kept
inainle de
in
a

A. hepatica
the apta)
posterior
Margine inf.fr at
Imperial sting a

medial

lui
- trece prin caput pancreatic

%afYaqmheachelpanereaticlaeaudepereklebuooc-mxc.ae
lateral
-

not comin

↓
lui Vater in
se Leschi de
prin Ampula

douaporfiuneaheolenului-flu.vn/htiarajunse-n2uo2enereglatde
a

sf.no/eneIobAicemanfoneazoaceslCANALCO-MUN
 calculi micti: me combin
neficient (a casa fe OPACI

Brene
Negni
2

Razioopac

Calali
pigmentan: BRUM cintechi
- in cabiliare
opap
-
nea
V

NEGRI 120%. Iin to

-> in colecist as
gonec
-be form in like sterite
c-of-hemolitie
micsfic75X.1
↳ asos
233 calculi
p. -
Groza

Analize laborator hemoliza cronics:

·

hiperserehe Bilivetina Cory in

-> teste funae hepatica: bl
↑ holi hemolitize #
Biliretina reconjugate (indivetal:

conjugatidirecte):
↑ obstacol cobiliars extratupalize secrete
endingironid
colestaza
↳
-

-> Fosfataza acaling: Tempraproucte): obstructe biliar extrahepatica precipitate calculi

Isintetiz. epitelin cai biliare) colestaz in usa medicamente pigmentar
cirozablara primitive

moderate: hepatitrow as I D.D. FA: confirmare stabilitate

In
temperature ridicate
TaGbT + T FA: sursaT FA biliar

PAST 3
AttiThepadea biliar acut
INNS

To
!
obstructe hilara #EPH
iTE
#

eBSTACOLINCOMPUaim-primide FECTEDT
I

Bilimbin normata
FA elib. interdincabiliar
- metastatic
TINR + prehensive time protontiva: icter ofstective (realabsorbit wit.c.)
2

*
Biline fin a direct hidvosobla) /conjugate
T Hb, Hemaloent ·
secretation in using

devotg.
↳heaton a ↓
*urobinogen in Obsinuate BELARA-

URINE blocare excretie BiLRUBINA

inflamate acuta; infecte
intestin
retabolism bacterian bilineta =>
crobtinogen in

Amilaza serica Mareata:

readvorfit
excretet in <
Pancreatita
Lipaza CRESTERE: A certa NORMAL uniza

wor: colecistite acut

↑

colangita
Explorate imagistica:
· initial he elect: ecografic: calmly be pina lasmm
uneon: calculi bilian
ex:
Eeshnzerevesicularbil jonchunea canalisticis
obstructe distal de
sludge biliar
deceleza dilata,to cale biliar (>7mm)
a
perete
ingroat/ coleciting
colecistic
licbid pericolestalic sediu-intra/extrahepatic obstructe
mai prdn udta pteriden,here calculi
nivel
ze (a cat
phone
interpuse
ultrasonografia: she
a
retina, a inlouit cologistografia orato duoden (aers

la
pacienti a colici

inf zespe feat, pancreal

Listensie vesicula biliavar

stabilize Eg. definitiv colecstite acuta:
-

ingrease colecist (C3-hm)

lichid pericolestatic + emn
Muply enografe

B; vareon calabi went vitilip Rxsimpto

Aer -in Cale Slava-isolute cost tract bixbiliar
fistula patologia
-
create
comnicare in interventiant.
lumen/perete rezicabiliar
Aut
Enfitematias

-evaluare of acute severe ptexcludes alts cause obsticke hlava

CT alternativ
zg.
-

colangoc anate arbore biliar

-glidare Irenaj percutan aspiratio
- col gran
-

atologe
punche hope pt.2g Definitiv
 MRCP-selecte imagine biliar calculici
artive
cute pancreative 3 anomali tract filig
- metodo initials: precede PTC, preliminara alone invative
ERCP
me-invasive
&radiali
-

T I

HiDA-inj iv. henivat acid iminodiacedc agmic mareat

-

radionuclid excretet fiat in hi

-

Chacepermeatil ductal colecistic

petence Lilian
inGretica
duoden

colecist normal: it in 30
minute
->

CB4 +Woven
Cup 22: Obtuche canal cirtic
Falspot:hepulite
int
->

COLECISTTE ACUT

foll
->
identificare fistule postoperatonic
calculi vesicular (B
(raw

->
I identifica
Injectave direct webt. contrast
>PTC:
Ac fin-transcutan in parenchine hepade
in DUCTE BiLARE -
transparietal
Mai into correct coagulopalia react biliar betat(facility injectare direct
webst. contrast in

DuCTE BiGARE
W
pt.nisualizare above proximal
ERCP 29 citologic
extragers calculi obstrate
plasare tab even to canale
-
cafeterizare stincter Oddi
-

injecture meds contrast => anatomic artove biliar

-

ofinctertonie: electrocontents prin pancreatic

Fir ataat catter
~
OADi

nextrace
calculi bilian
plasare stent some obstructe biliava
icter hiper carotenemia
Algorithm evaluave pacient on

istoric medicamenHe
-

① Tegumente icterice: Bilivelina perica Noom normal teclercalle

direct
Trna

S 3
Dozm ·
creseuta +
sclere interce
primar, conjugate --
Prod.excerivabilitina:
enziose ·
T Bilimlina direct
i CTER

Bilishing indirect
HE ROLEE

Biline
↑
China indirect :primara reconjugatal

dche
orre
> TINFAR bGT
I =
Absorbie: SAR. Gilbert
↑ aminotransferate (ACTIAST)
Ecografie
Tullurane
Tgluaeonil transferaze
-
Now Nascut
PTC;ERC4; MRCP
1

Crigher-Najjar
 Cancer caibiliareegalita.IE peoexe 150,70 any
=
Colangiocarcinom
>
Intra hepatic HoH
Extra hepatic cat maid)
•
perihilar confluent
:
a Canale hep -
dr
pñna
la insertion
5OT
-

otg canal attic in CL3P .

• de segment histale lalet insert;e canal

I a

Cistie CBP
in
pina amphoe Vater {oy .

Histologic : Adenocarcinoma ceproducmua.ME =