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Download PDF - The Pancreapedia

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This designation, although arbitrary, seems<br />

justified because of apparent functional<br />

differences between this and the remaining<br />

segments of the common bile duct, as will be<br />

clarified later. Each pancreatic duct has several<br />

smaller branching ducts. For example, the main<br />

duct usually divides into two medium-sized ducts<br />

in the tail region of the splenic lobe (Figs. 4 and<br />

5). <strong>The</strong> splenic and duodenal ducts seem to<br />

correspond to Santorini's and Wirsung’s ducts,<br />

respectively 86, 92 .<br />

Figure 5. Pancreatic ductal system<br />

As in other mammals, the major blood supply of<br />

the pancreas is provided by the splenic,<br />

pancreaticoduodenal and right gastroepiploic<br />

arteries (from the celiac artery) and a branch from<br />

a superior mesenteric artery. Compared to<br />

12<br />

humans, however, the SGH has the following<br />

specific pancreatic vascular patterns (Fig. 6)<br />

1. <strong>The</strong> splenic artery runs through the splenic<br />

lobe, generally delivers four branches to the<br />

spleen, and forms the left gastroepiploic<br />

artery.<br />

2. This left gastroepiploic artery anastomoses<br />

with the right gastroepiploic artery, which<br />

supplies the gastric lobe through the long<br />

artery within the fatty string (omental fat).<br />

3. <strong>The</strong> right gastroepiploic artery is a branch of a<br />

common artery that arises from the hepatic<br />

artery. This common artery divides into two<br />

branches while running through the body of<br />

the splenic lobe. One branch leaves the<br />

pancreas and runs along the greater curvature<br />

of the glandular stomach to form the inferior<br />

(right) gastric artery and the other extends<br />

through the gastric lobe, as the right<br />

gastroepiploic artery, and anastomoses with<br />

the left gastroepiploic artery through the<br />

omental fatty string. <strong>The</strong> cranial and caudal<br />

pancreaticoduodenal arteries arising,<br />

respectively, from the celiac and cranial<br />

mesenteric arteries, supply the duodenal lobe<br />

and head portions of the pancreas.<br />

<strong>The</strong> venous blood supplies correspond to the<br />

arterial patterns (Fig. 7). <strong>The</strong> splenic, right<br />

gastroepiploic, and cranial pancreaticoduodenal<br />

veins and the vein of the duodenal lobe empty<br />

directly into the portal vein. A corresponding vein<br />

anastomosis exists in the omental fatty string.<br />

Figure 6. Patterns of pancreatic blood supply in the hamster.

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