Biliary tree and pancreas

Question 1

how does the pancreas lie int he abdomen

Answer 1

• in the posterior part

- from the loop of the duodenum to the spleen

Question 2

what is the pancreas divided into

Answer 2

• head
• neck
• body
• tail

Question 3

what are the divisions on the duodenum

Answer 3

he duodenum is divided into first, second, third and fourth parts (superior, descending, horizontal and ascending)

Question 4

whats the blood supply to the pancreas

Answer 4

• no superior mesenteric

- coeliac trunk

Question 5

what does the head of the pancreas surrounds

Answer 5

The head of the pancreas surrounds the superior mesenteric artery and vein, with the uncinate process wrapping around them posteriorly

Question 6

what units to form the common hepatic ducts

Answer 6

• the left and right hepatic ducts

Question 7

what does the common hepatic duct join

Answer 7

• the common hepatic joins the cystic duct to from the bile duct

Question 8

what does the billiard tree constitutes of

Answer 8

The biliary tree consists of the (common) hepatic ducts, the cystic duct, the bile duct and the gall bladder.

Question 9

what makes up the structure of the gall bladder

Answer 9

• fundus
• body
• neck

Question 10

what does the bile duct unit with

Answer 10

The bile duct unites with the pancreatic duct to form the hepatopancreatic ampulla, which opens into the second part of the duodenum at the major duodenal papilla

Question 11

what are secretions into the duodenum controlled by

Answer 11

• they are controlled by the sphincter of Oddi

Question 12

how do you diagnose pancreatic and billiary disease

Answer 12

ERCP

Question 13

describe how ERCP works

Answer 13

• A fibreoptic endoscope is passed through the mouth, oesophagus and stomach, into duodenum.
• Then a cannula is inserted into the major duodenal papilla for injection of radiographic contrast medium