Abstract

The accessory pancreatic duct is the smaller and less constant pancreatic duct in comparison with the main pancreatic duct. We investigated the patency of the accessory pancreatic duct and its role in pancreatic pathophysiology. The present study was carried out in the department of Anatomy and forensic medicine, ACSR Govt. medical college, Nellore, Andhra Pradesh, India and in the department of Anatomy, RIMS, Ongole, Andhra Pradesh, India. With 96 human cadavers (64 males and 32 females) with 30 to 80 years age group have been studied after obtained of ethical committee permission. The dissection method was followed to obtain specimen of pancreas along with C-loop of duodenum, papillae were identified ad dye was injected into APD to see its patency at MIP. 93.75% specimens present MIP. The prevalence of patency of APD at MIP in population under study was 38.89%; this is more in males was 43.33%, when compared to the females was 30% but this difference was not significant statistically. It observed that out of 35 patent APD cases, 33 cases had inter papillary distance either 2cm or more than 2cm. I t indicates 94.29% of patent APD cases had inter-papillary distance e”2cm. So there is strong relationship between APD patency and inter papillary distance in population under study. The means inter-papillary distance in patent APD cases was 2.29 ± 0.2cm and non-patent APD cases was 1.85 ± 0.25 cm. This difference was statistically significant.

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