Pancreas

Question 1

Name the parts of the pancreas

Answer 1

Head, neck, body, tail and unicate process

Question 2

What do the islet cells produce?

Answer 2

Alpha cells - glucagon
Beta cells - insulin
D cells - somatostatin

Question 3

Describe the ductal drainage system of the pancreas?

Answer 3

Main pancreatic duct - drains the head, body and tail of the pancreas and opens into the major duodenal papilla

The accessory pancreatic duct drains the uncinate process and opens into the minor duodenal papilla

Question 4

What is the blood supply of the pancreas?

Answer 4

Superior pancreaticoduodenal artery - from the gastroduodenal artery

Inferior pancreaticoduodenal artery from the SMA

Pancreatic branches from the splenic artery

Question 5

What vessels are encountered during a Whipple’s procedure

Answer 5

Abdominal aorta
SMA and SMV
PV
Left renal vein
Splenic vein
Superior and inferior pancreaticoduodenal arteries

Question 6

Which ligament connects the tail of the pancreas with the spleen?

Answer 6

Lienorenal (splenorenal) ligament

Question 7

What is the peritoneal relationship with the pancreas?

Answer 7

All retroperitoneal expect for the tail

Question 8

Which vessel is present behind the body of the pancreas?

Answer 8

Splenic artery

Question 9

Which vessel is present behind the neck of the pancreas?

Answer 9

Portal vein

Question 10

What space is found behind the pancreas?

Answer 10

lesser sac

Question 11

Describe the development of the pancreas

Answer 11

Ventral bud- from the hepatic diverticulum and it gives rise to the lower part of the head and uncinate process
Dorsal bud- from the dorsal aspect of the duodenum and gives rise to the upper part of the head, neck, body and tail