Pancreas Flashcards
the pancreas is a _______, _________ structure.
nonencapsulated, retroperitoneal
the pancreas lies…..
between the duodenal loop and the splenic hilum
the five components of the pancreas include
the head, Uncinate process, neck, body, and tail
what are the two functions of the pancreas?
the exocrine and endocrine
what is the exocrine function?
secretion of trypsin, lipase, and amylase through the ductal system
what is the endocrine function?
this is the non ductal function. it secretes insulin via the islets of Langerhans.
what would be a normal measurement of the pancreas?
AP less than or equal to 3 cm
what supplies the blood to the pancreas?
CA, SMA, and splenic artery
what supplies blood to the head, body and tail of the pancreas?
the splenic artery
the posterior wall of the stomach overlies what?
the anterior border of the pancreatic body and tail
name the two techniques to better image the pancreas
- place transducer anterior to left lobe in midline and angle inferiorly to avoid air filled stomach and first portion of duodenum that lies anterior to the pancreas.
- patient in LLD drinks water to fill stomach, then turns RLD which fills the duodenum with water pushing out air and creating an acoustic window for better visualization, especially for the tail.
the head of the pancreas is anterior to what?
the IVC
the head of the pancreas is medial to what?
duodenum
CBD is located where in the pancreas?
posterior/ lateral to the pancreatic head
the GDA is located where in the pancreas?
anterior and lateral to the pancreatic head
Where is the SMA and SMV located in relation to the pancreas?
posterior to the neck of the pancreas, but anterior to the Uncinate process
where is the pancreatic tail located?
anterior and medial to the splenic hilum
what is posterior to the bod of the pancreas?
the aorta
what vessels arise at the superior and inferior borders of the pancreas?
the Celiac axis arises in the superior border, and the SMA arises at the inferior border
what is the first branch, and other branches of the celiac axis?
the first branch is the left gastric, then divides into CHA and splenic artery
what artery could you see at the superior border of the pancreatic body and tail?
the splenic artery
the common hepatic artery becomes what?
the proper hepatic artery and the gastroduodenal arteries
what travels superiorly toward the liver, anterior to the portal vein and left bile duct?
the proper hepatic artery- branch = right gastric artery.
what travels posterior to the first portion of the duodenum and anterior to the head of the pancreas?
GDA
where is the SMA located?
inferior to the pancreas, anterior to Uncinate, and anterior to the third portion of the duodenum.
what creates the MPV?
splenic vein, and SMV
where is the SMV located?
to the right of the SMA, anterior to the third portion of the duodenum and Uncinate.
Where does the IMV drain into?
splenic vein
what travels posterior to the first portion of the duodenum and head of the pancreas?
CBD