A Study on Position of Minor Duodenal Papilla Related to Major Duodenal Papilla among South Indians - A Cadaveric Study
Journal Title: Scholars International Journal of Anatomy and Physiology - Year 2018, Vol 1, Issue 3
Abstract
Recurrent pancreatitis is associated with minor duodenal papilla. Minor and major duodenal papillae are necessary for the endoscopist to perform the dilation, stenting, or papillotomy of the minor papilla. 50 formalin fixed cadavers (Male - 41; Female - 9) with age group ranged between 35 - 60 years from the departments of Anatomy, J.J.M Medical College, Davengere, Karnataka & Chennai Medical College, Trichy, Tamilnadu were utilized to study the position of minor duodenal papilla related to major duodenal papilla in pancreatico-duodenal specimens. The minor duodenal papilla was present in 46 (92%) out of 50 specimens whereas in 4 specimens (8%) the minor duodenal papilla was absent. The position of the minor duodenal papilla in relation to that of major duodenal papilla was recorded. In 37 specimens (80.43%) it was anterosuperior to the major papilla and in 9 specimens (19.56%) it was directly superior to the major papilla and opens at second part of duodenum. The distance between the minor and major papillae varied from 1.3 cm to 4.3 cm, the average being 2.35 cm was noted and recorded in the present study. Endoscopy assisted surgeries need anatomical knowledge in understanding the position of the minor duodenal papilla relation to the major duodenal papilla and its clinical importance.
Authors and Affiliations
N. Vinay Kumar, S. Lokanadham
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