Skip to main content

Pancreatic and Biliary Ducts and Duodenum

  • Chapter
Radiology of the Pancreas

Abstract

The pancreas develops from the caudal portion of the foregut during the 3–4-mm stage of the human embryo (1,2). Growth occurs from two separate primordia or anlagen which arise from the endodermal epithelium of the duodenum (Fig. 4.1A). The dorsal anlage is the first to develop and is located opposite and cranial to the hepatic diverticulum. It grows rapidly and extends into the dorsal mesentery of the duodenum. The ventral anlage is composed of two separate buds. It develops slightly later and is located caudal to the hepatic diverticulum (3,4). The smaller left ventral bud usually regresses, and only the right persists. The ventral anlage undergoes a 90° clockwise rotation and migrates dorsally, eventually occupying a position within the mesoduodenum along the posteroinferior margin of the dorsal pancreatic anlage (Fig. 4.1B).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Hamilton WJ, Boyd JD, Mossman HW: Human Embryology. Baltimore: Williams and Wilkins 1962.

    Google Scholar 

  2. Langman J: Medical Embryology. Baltimore: Williams and Wilkins 1973.

    Google Scholar 

  3. Odgers PNB: Some observations in the development of the ventral pancreas in man. J Anat 65: 1–7, 1930.

    PubMed  CAS  Google Scholar 

  4. Simkins S: Variations in the pancreatic ducts and the minor duodenal papilla. Am J Med Sci 182: 626–639, 1931.

    Google Scholar 

  5. Berman LG, Prior JT, Abramow SM, Ziegler DD: A study of the pancreatic duct system in man by the use of vinyl acetate casts of postmortem preparations. Surg Gynec Obstet 110: 391–403, 1960.

    PubMed  CAS  Google Scholar 

  6. Kleitsch WP: Anatomy of the pancreas. A study with special reference to the duct system. Arch Surg 71: 795–802, 1955.

    CAS  Google Scholar 

  7. Millbourn E: On the excretory ducts of the pancreas in man, with special reference to their relations to each other, to the common bile duct and to the duodenum. Acta Anat 9: 1–34, 1950.

    PubMed  CAS  Google Scholar 

  8. Dawson W, Langman J: An anatomical–radiological study on the pancreatic duct pattern in man. Anat Rec 139: 59–68, 1961.

    PubMed  CAS  Google Scholar 

  9. Baldwin WM: The pancreatic ducts in man, together with a study of the microscopical structure of the minor duodenal papilla. Anat Rec 5: 197–228, 1911.

    Google Scholar 

  10. Belber JP, Bill K: Fusion anomalies of the pancreatic ductal system: Differentiation from pathologic states. Radiology 123: 637–642, 1977.

    Google Scholar 

  11. Hayes MA, Goldenberg IS, Bishop CC: The developmental basis for bile duct anomalies. Surg Gynec Obstet 107: 447–456, 1958.

    PubMed  CAS  Google Scholar 

  12. Phillip J, Koch H, Classen M: Variations and anomalies of the papilla of vater, the pancreas, and the biliary duct system. Endoscopy 6: 70–77, 1974.

    Google Scholar 

  13. Sterling J A: The common channel for bile and pancreatic ducts. Surg Gynec Obstet 98: 420–424, 1954.

    PubMed  CAS  Google Scholar 

  14. Classen M, Hell wig H, Rosch W: Anatomy of the pancreatic duct. A duodenoscopicradiological study. Endoscopy 5: 14–17, 1973.

    Google Scholar 

  15. Varley PF, Rohrmann CA Jr, Silvis SE, Vennes JA: The normal endoscopic pancreatogram. Radiology 118: 295–300, 1976.

    PubMed  CAS  Google Scholar 

  16. Sivak MV, Sullivan BH Jr: Endoscopic retrograde pancreatography. Analysis of the normal pancreatogram. Am J Dig Dis 21: 263–269, 1976.

    PubMed  Google Scholar 

  17. Kasugai T, Kuno N, Kobayashi S, Hattori K: Endoscopic pancreatocholangiography. The normal endoscopic pancreatocholangiogram. Gastroenterology 63: 217–226, 1972.

    PubMed  CAS  Google Scholar 

  18. Kreel L, Sandin B, Slavin G: Pancreatic morphology. A combined radiological and pathological study. Clin Radiol 24: 154–161, 1973.

    PubMed  CAS  Google Scholar 

  19. Meakins JL, Stein LA: Postgastrectomy distortion of the pancreatic ducts simulating carcinoma. AJR 127: 675–677, 1976.

    PubMed  CAS  Google Scholar 

  20. Howard JM, Short WF: An evaluation of pancreatography in suspected pancreatic disease. Surg Gynec Obstet 129: 319–324, 1969.

    PubMed  CAS  Google Scholar 

  21. Ogoshi K, Niwa M, Hara Y, Nebel OT: Endoscopic pancreatocholangiography in the evaluation of pancreatic and biliary disease. Gastroenterology 64:210– 216, 1973.

    PubMed  CAS  Google Scholar 

  22. Anacker H: Radiological anatomy of the pancreas. In Anacker H (ed): Efficiency and Limits of Radiologic Examination of the Pancreas. Stuttgart: Georg Thieme Verlag 1975, pp 29–42.

    Google Scholar 

  23. Birnstingl M: A study of pancreatography. Br J Surg 47: 128–139, 1959.

    PubMed  CAS  Google Scholar 

  24. Hand BH: An anatomical study of the choledochoduodenal area. Br J Surg 50: 486–494, 1963.

    PubMed  CAS  Google Scholar 

  25. Kreel L, Sandin B: Changes in pancreatic morphology associated with aging. GUT 14: 962–970, 1973.

    PubMed  CAS  Google Scholar 

  26. MacCarty RL, Stephens DH, Brown AL Jr, Carlson HC: Retrograde pancreatography in autopsy specimens. AJR 123: 359–366, 1975.

    CAS  Google Scholar 

  27. Millbourn E: Calibre and appearance of the pancreatic ducts and relevant clinical problems. A roentgenologic and anatomical study. Acta Chir Scandinav 118: 286–303, 1959.

    Google Scholar 

  28. Trapnell JE, Howard JM: Transduodenal pancreatography: An improved technique. Surgery 60: 1112–1119, 1966.

    PubMed  CAS  Google Scholar 

  29. Anacker H, Weiss HD, Kramann B: Endoscopic Retrograde Pancreaticocholangiography (ERPC). New York: Springer-Verlag 1977.

    Google Scholar 

  30. Freeny PC, Bilbao MK, Katon RM: “Blind” evaluation of endoscopic retrograde cholangiopancreatography (ERCP) in the diagnosis of pancreatic carcinoma: The “double duct” and other signs. Radiology 119: 271–274, 1976.

    PubMed  CAS  Google Scholar 

  31. Reinhoff WF, Pickrell KL: Pancreatitis: An anatomic study of the pancreatic and extrahepatic biliary systems. Arch Surg 51: 205–219, 1945.

    Google Scholar 

  32. Smanio T: Proposed nomenclature and classification of the human pancreatic ducts and duodenal papillae. Study based on 200 post mortems. Int Surg 52: 125–134, 1969.

    PubMed  CAS  Google Scholar 

  33. Opie EL: Diseases of the Pancreas: Their Cause and Nature. Philadelphia: JP Lippincott 1910.

    Google Scholar 

  34. Anacker H, Weiss HD, Kramman B, Rupp N: Experience with endoscopic retrograde pancreatography. AJR 122: 375–384, 1974.

    CAS  Google Scholar 

  35. Takemoto T, Kasugai T: Endoscopic Retrograde Cholangiopancreatography. New York: Igaku-Shoin 1979, pp. 145.

    Google Scholar 

  36. Ohto M, Ono T, Tsuchiya Y, Saisho H: Cholangiography and Pancreatography. Baltimore: University Park Press 1978.

    Google Scholar 

  37. Cotton PB: The normal endoscopic pancreatogram. Endoscopy 6: 65–70, 1974.

    Google Scholar 

  38. Cotton PB: Progress Report. ERCP. GUT 18: 316–341, 1977.

    PubMed  CAS  Google Scholar 

  39. Pollock AV: Pancreatography in the diagnosis of chronic relapsing pancreatitis. Surg Gynec Obstet 107: 765–770, 1958.

    PubMed  CAS  Google Scholar 

  40. Doubilet H, Poppel MH, Mulholland JH: Pancreatography. techniques, principles and observations. Radiology 64: 325–339, 1955.

    PubMed  CAS  Google Scholar 

  41. Bilbao MK, Dotter CT, Lee TG, Katon RM: Complications of endoscopic retrograde cholangiopancreatography (ERCP). A study of 10,000 cases. Gastroenterology 70: 314–320, 1976.

    PubMed  CAS  Google Scholar 

  42. Freeny PC, Ball TJ: Evaluation of endoscopic retrograde cholangiopancreatography and angiography in the diagnosis of pancreatic carcinoma. AJR 130:683–691, 1978.

    PubMed  CAS  Google Scholar 

  43. Kasugai T, Kuno N, Kizu M: Manometric endoscopic retrograde pancreatography. Technique, significance and evaluation. Am J Dig Dis 19: 485–502, 1974.

    PubMed  CAS  Google Scholar 

  44. Bergh GS, Layne JA: A demonstration of the independent contraction of the sphincter of the common bile duct in human subjects. Am J Physiol 128: 690–694, 1940.

    Google Scholar 

  45. Schwegler RA Jr, Boyden EA: The development of the pars intestinalis of the common bile duct in the human fetus, with special reference to the origin of the ampulla of Vater and the sphincter of Oddi. I. The involution of the ampulla. Anat Ree 67: 441–468, 1937.

    Google Scholar 

  46. Trapnell JE: Pancreatographya reassessment. Br J Surg 54: 934–939, 1967.

    PubMed  CAS  Google Scholar 

  47. Leger L: Radiosurgical exploration of the pancreas and transpapillary drainage of the canal of Wirsung. J Chir 68: 518–536, 1952.

    CAS  Google Scholar 

  48. Hermann RE: Operative pancreatography. In Cooperman AM, Hoerr SO (eds): Surgery of the Pancreas. St. Louis: CV Mosby 1978, pp 72–84.

    Google Scholar 

  49. Carey LC: The Pancreas. St. Louis: CV Mosby, 1973.

    Google Scholar 

  50. White TT, Silverstein FE: Operative and endoscopic pancreatography in the diagnosis of pancreatic cancer. Cancer 37: 449–461, 1976.

    PubMed  CAS  Google Scholar 

  51. Doppman J, Johnson RH: Reflux pancreatography. J Invest Radiol 2: 113–118, 1967.

    Google Scholar 

  52. Rosenbaum HD, Barker EG Jr, Gibson DE, et al: Reflux pancreatography. J Invest Radiol 6: 321–325, 1971.

    CAS  Google Scholar 

  53. Waldron RL, Bragg DG, Daly J, Seaman WB: Experimental reflux pancreatography and cholangiography. Radiology 88: 357–360, 1967.

    PubMed  Google Scholar 

  54. Waldron RL, Seaman WB, Foster S: Reflux pancreatography and distension duodenography in humans. Radiology 104: 295–300, 1972.

    PubMed  Google Scholar 

  55. Bilbao MK, Rösch J, Frische LH, Dotter CT: Hypotonie duodenography in the diagnosis of pancreatic disease. Semin Roentgenol 3: 280–287, 1968.

    Google Scholar 

  56. Bilbao MK, Dotter CT: Reflux cholangiography in sphincteroplasty or enterobiliary anastamosis. Radiology 115: 585–588, 1975.

    PubMed  CAS  Google Scholar 

  57. Gosink BB, Leopold GR: The dilated pancreatic duct: Ultrasonic evaluation. Radiology 126: 475–478, 1978.

    PubMed  CAS  Google Scholar 

  58. Lee JKT, Stanley RJ, Melson GL, Sagel SS: Pancreatic imaging by ultrasound and computed tomography. Rad Clin North Am 16: 105–117, 1979.

    Google Scholar 

  59. Goldstein HM, Zornoza J: Percutaneous transperitoneal aspiration biopsy of pancreatic masses. Am J Dig Dis 23: 840–843, 1978.

    PubMed  CAS  Google Scholar 

  60. Cooperberg PL, Cohen MM, Grahm M: Ultrasonographically guided percutaneous pancreatography: Report of two cases. AJR 132: 662–663, 1979.

    PubMed  CAS  Google Scholar 

  61. Ohto M, Saotome N, Saisho H, et al: Realtime sonography of the pancreatic duct: Application of percutaneous pancreatic ductography. AJR 134: 647–652, 1980.

    PubMed  CAS  Google Scholar 

  62. Ohto M, Karasawa E, Tsuchiya Y, et al: Ultrasonically guided percutaneous contrast medium injection and aspiration biopsy using a realtime puncture transducer. Radiology 136: 171–176, 1980.

    PubMed  CAS  Google Scholar 

  63. Zimmon DS, Panke WF, Clemett AR: Percutaneous pancreatography: Case report and presentation of technique. Gastroenterology 77: 1101–1104, 1979.

    PubMed  CAS  Google Scholar 

  64. Haaga JR, Highman LM, Cooperman AV, Owens FJ: Percutaneous CT-guided pancreatography and pseudocystography. AJR 132: 829–830, 1979.

    PubMed  CAS  Google Scholar 

  65. McCune SW, Shorb EP, Moscovitz H: Endoscopic cannulation of the ampulla of Vater: A preliminary report. Ann Surg 167: 725–756, 1968.

    Google Scholar 

  66. Oi I: Endoscopic pancreatography by fiberduodenoscope (FDS-Lb). Jap J Gastroenterology 66: 880–883, 1969.

    Google Scholar 

  67. Takagi K, Ikeda S, Nakagawa J, et al: Retrograde pancreatography and cholangiography by fiber duodenoscope. Gastroenterology 59: 445–452, 1970.

    PubMed  CAS  Google Scholar 

  68. Ogoshi K, Tobita Y, Hara Y: Endoscopic observation of the duodenum and pancreatocholedochography using duodenofiberscope under direct vision. Gastrointestinal Endosc 12: 83–94, 1970.

    Google Scholar 

  69. Demling L, Classen M: Duodenojejunoscopy. Endoscopy 2: 115–117, 1970.

    Google Scholar 

  70. Cotton PB: Salmon PR, Blumgart LH, et al: Cannulation of papilla of Vater via fiberduodenoscope. Lancet 1: 53–58, 1972.

    PubMed  CAS  Google Scholar 

  71. Stewart ET, Vennes JA, Geenen JE: Atlas of Endoscopic Retrograde Cholangiopancreatography. St. Louis: CV Mosby 1977.

    Google Scholar 

  72. Goldberg HI, Bilbao MK, Stewart ED, et al: Endoscopic retrograde cholangiopancreatography (ERCP): Radiographic technique. Am J Dig Dis 21: 270–278, 1976.

    PubMed  CAS  Google Scholar 

  73. Nebel OT, Silvis SE, Rogers G, Sugawa C, Mandelstam P: Complications associated with endoscopic retrograde cholangiopancreatography. Results of the 1974 A/S/G/E survey. Gastrointest Endoscopy 22: 34–36, 1975.

    CAS  Google Scholar 

  74. Zimmon DS, Falkenstein DB, Riccobono C, Aaron B: Complications of endoscopic retrograde cholangiopancreatography. Analysis of 300 consecutive cases. Gastroenterology 69: 303–309, 1975.

    PubMed  CAS  Google Scholar 

  75. Silvis SE, Vennes JA, Rohrmann CA: Endoscopic pancreatography in the evaluation of patients with suspected pancreatic pseudocysts. Am J Gastroenterology 62: 452–459, 1974.

    Google Scholar 

  76. Anderson BN, Hancke S, Nielsen SAD, Schmidt A: The diagnosis of pancreatic cyst by endoscopic retrograde pancreatography and ultrasonic scanning. Ann Surg 185: 286–289, 1977.

    Google Scholar 

  77. Winship D: Pancreatitis: Pancreatic pseudocysts and their complications. Gastroenterology 73: 593–603, 1977.

    Google Scholar 

  78. Blackwood WD, Vennes JA, Silvis SE: Post-endoscopy pancreatitis and hyperamylasuria. Gastrointest Endoscopy 20: 56–58, 1973.

    CAS  Google Scholar 

  79. Healey JE, Schroy PC: Anatomy of the biliary ducts within the human liver. Arch Surg 66: 599–619, 1953.

    Google Scholar 

  80. Baddeley H, Nolan DJ, Salmon PR: Radiological Atlas of Biliary and Pancreatic Disease. Chicago: Year Book Medical Publishers, Inc. 1978.

    Google Scholar 

  81. Wise RE: Intravenous Cholangiography. Springfield, Illinois: Charles C Thomas 1962.

    Google Scholar 

  82. Lasser RB, Silvis SE, Vennes JA: The normal cholangiogram. Am J Dig Dis 23: 586–590, 1978.

    PubMed  CAS  Google Scholar 

  83. Hatfield PM, Wise RE: Radiology of the Gallbladder and Bile Ducts. Baltimore: Williams and Wilkins, 1976.

    Google Scholar 

  84. Berk RN, Clemett AR: Radiology of the Gallbladder and Bile Ducts. Philadelphia: WB Saunders 1977.

    Google Scholar 

  85. Nuboer JF: Studien über das extrahepatische gallenwegssystem. Der bam der musheln und des elastischen gewebes in den normalen extrahepatischen gallenwegen. Frankf Path 41: 198, 1931.

    Google Scholar 

  86. Taylor KJW, Carpenter DA, McCready VR: Ultrasound and scintigraphy in the differential diagnosis of obstructive jaundice. J Clin Ultrasound 2: 105–116, 1974.

    PubMed  CAS  Google Scholar 

  87. Carlsen EN: Liver, gallbladder and spleen. Radiol Clin North Am 13: 543–556, 1975.

    PubMed  CAS  Google Scholar 

  88. Havrilla TR, Haaga JR, Alfidi RJ, Reich NE: Computed tomography and obstructive biliary disease. AJR 128: 765–768, 1977.

    PubMed  CAS  Google Scholar 

  89. Stanley RJ, Sagel SS, Levitt RG: Computed body tomography of the liver. Radiol Clin North Am 15: 331, 1977.

    PubMed  CAS  Google Scholar 

  90. Weissmann HS, Frank M, Rosenblatt R, et al: Cholescintigraphy, ultrasonography and computerized tomography in the evaluation of biliary tract disorders. Semin Nucl Med 9: 22–35, 1979.

    PubMed  CAS  Google Scholar 

  91. Okuda K, Tanikawa K, Emura T, Kuratomi S, et al: Nonsurgical, percutaneous transhepatic cholangiography—diagnostic significance in medical problems of the liver. Am J Dig Dis 19: 21–36, 1974.

    PubMed  CAS  Google Scholar 

  92. Ferrucci JT Jr, Wittenberg J, Sarno RA, Dreyfuss JR: Fine needle transhepatic cholangiography: A new approach to obstructive jaundice. AJR 127: 403–407, 1976.

    PubMed  Google Scholar 

  93. Rösch J, Lakin PC, Antonovic R, Dotter CT: Transjugular approach to liver biopsy and transhepatic cholangiography. N Engl J Med 289: 227–231, 1973.

    PubMed  Google Scholar 

  94. Huard P, Do-Xuan-Hop: La ponction transhepatique des canuk biliares. Bull Soc Med Chir Indoch 15: 1090, 1937.

    Google Scholar 

  95. Kidd HA: Percutaneous transhepatic cholangiography. Arch Surg 72: 262–268, 1956.

    CAS  Google Scholar 

  96. Seldinger SI: Percutaneous transhepatic cholangiography. Acta Radiol Suppl 253: 7–133, 1966.

    Google Scholar 

  97. Evans JA, Glenn F, Thorbjarnarson B, Mujahed Z: Percutaneous transhepatic cholangiography. Discussion of the method and report of 25 cases. AJR 78: 362–370, 1962.

    CAS  Google Scholar 

  98. Elias E, Hamlyn AN, Jain S, et al: A randomized trial of percutaneous transhepatic cholangiography versus endoscopic retrograde cholangiography for bile duct visualization in obstructive jaundice. Gastroenterology 71: 439–443, 1976.

    PubMed  CAS  Google Scholar 

  99. Pereiras R, White P, Dusol M Jr, et al: Percutaneous transhepatic cholangiography utilizing the Chiba University needle. Radiology 121: 219–221, 1976.

    PubMed  Google Scholar 

  100. Pereiras R, Chiprut RO, Greenwald RA, et al: The “skinny” needle: A rapid, simple and accurate method in the diagnosis of cholestasis. Ann Int Med 86: 562–568, 1977.

    PubMed  Google Scholar 

  101. Redeker AJ, Karvountzis GG, Richman RH, et al: Percutaneous transhepatic cholangiography: An improved technique. JAMA 231: 386–387, 1975.

    PubMed  CAS  Google Scholar 

  102. Ferrucci JT Jr, Wittenberg J: Refinements in Chiba needle transhepatic cholangiography. AJR 129: 11–16, 1977.

    PubMed  Google Scholar 

  103. Harbin WP, Mueller PR, Ferrucci JT Jr: Transhepatic cholangiography: Complications and use patterns of the fine-needle technique. A multi-institutional survey. Radiology 135: 15–22, 1980.

    PubMed  CAS  Google Scholar 

  104. Goldberg HI, Dodds WJ, Lawson TL, Stewart ET, Moss AA: Hepatic lymphatics demonstrated by percutaneous transhepatic cholangiography. AJR 123: 415–419, 1975.

    CAS  Google Scholar 

  105. Okuda K, Sumikoshi T, Kanda Y, et al: Hepatic lymphatics as opacified by percutaneous intrahepatic injection of contrast medium. Radiology 119: 321–326, 1976.

    Google Scholar 

  106. Kittredge RD, Baer JW: Percutaneous transhepatic cholangiography. Problems in interpretation. AJR 125: 35–46, 1975.

    CAS  Google Scholar 

  107. Taylor KJW, Rosenfield AT: Grey-scale ultrasonography in the differential diagnosis of jaundice. Arch Surg 112: 820–825, 1977.

    PubMed  CAS  Google Scholar 

  108. Stone LB, Ferrucci JT Jr, Warshaw AL, et al: Gray scale ultrasound diagnosis of obstructive biliary disease. AJR 125: 47–50, 1975.

    CAS  Google Scholar 

  109. Burhenne HJ: Jaundice. In Margulis AR, Burhenne HJ (eds): Alimentary Tract Roentgenology. St. Louis: CV Mosby 1979, Volume III, pp. 497–503.

    Google Scholar 

  110. Rosenthall L, Shaffer EA, Lisbona R, et al: Diagnosis of hepatobiliary disease by 99m Tc-HIDA cholescintigraphy. Radiology 126: 467–474, 1978.

    PubMed  CAS  Google Scholar 

  111. Wistow BW, Subramanian G, VanHeertum RL: An evaluation of 99m Tc-labeled hepatobiliary agent. J Nucl Med 18: 455–461, 1977.

    PubMed  CAS  Google Scholar 

  112. Rosenthall L: Clinical experience with the newer hepatobiliary radiopharmaceuticals. Can J Surg 21: 297–300, 1978.

    PubMed  CAS  Google Scholar 

  113. Weissman HS, Frank M, Bernstein LH, et al: The rapid and accurate diagnosis of acute cholecystitis with 99m Tc-HIDA cholescintigraphy. AJR 132:523– 528, 1979.

    Google Scholar 

  114. Eyler WR, Clark MD, Rian RL: An evaluation of roentgen signs of pancreatic enlargement. JAMA 181: 967–971, 1962.

    PubMed  CAS  Google Scholar 

  115. Frostberg N: Characteristic duodenal deformity in cases of different kinds of perivaterian enlargement of the pancreas. Acta Radiol 19: 164–173, 1938.

    Google Scholar 

  116. Hodes PJ, Pendergrass EP, Winston NJ: Pancreatic ductal and vaterian neoplasms: Their roentgen manifestations. Radiology 62: 1–15, 1954.

    PubMed  CAS  Google Scholar 

  117. Larson KA, Pederson A: Roentgenologic findings in the stomach and duodenum in cancer of the pancreas. Acta Radiol 45: 459, 1956.

    Google Scholar 

  118. Schultz EH Jr: Aids to diagnosis of acute pancreatitis by roentgenologic study. AJR 76: 607–614, 1957.

    Google Scholar 

  119. Bilbao MK, Frische LH, Dotter CT, Rösch J: Hypotonie duodenography. Radiology 89: 438–443, 1967.

    PubMed  CAS  Google Scholar 

  120. Eaton SB, Benedict KT Jr, Ferrucci JT Jr, Fleischli DJ: Hypotonie duodenography. Radiol Clin North Am 8: 125–137, 1970.

    PubMed  CAS  Google Scholar 

  121. Ferrucci JT Jr, Benedict KT, Page DL, Fleischli DJ, Eaton SB: Radiographic features of the normal hypotonic duodenogram. Radiology 96: 401–408, 1970.

    PubMed  Google Scholar 

  122. Jacquement P, Liotta D, Mallet-Guy P: The Early Radiological Diagnosis of Diseases of the Pancreas and Ampulla of Vater: Elective Exploration of the Ampulla of Vater and the Head of the Pancreas by Hypotonic Duodenography. Springfield, Illinois: Charles C Thomas 1965.

    Google Scholar 

  123. Freeny PC, Ball TJ: Rapid diagnosis of pancreatic carcinoma. An algorithmic approach. Radiology 127: 627–633, 1978.

    PubMed  CAS  Google Scholar 

  124. Myers MA: Dynamic Radiology of the Abdomen. Normal and Pathologic Anatomy. New York: Springer-Verlag 1976.

    Google Scholar 

  125. Eaton SB Jr, Ferrucci JT Jr, Margulis AR, Weens HS: Unfamiliar roentgen findings in pancreatic disease. AJR 116: 396–405, 1972.

    Google Scholar 

  126. Laufer I: Double Contrast Gastrointestinal Radiology. Philadelphia: WB Saunders, 1979.

    Google Scholar 

  127. Lurje A: Topography of extrahepatic biliary passages: with reference to dangers of surgical technique. Ann Surg 105: 161–168, 1937.

    PubMed  CAS  Google Scholar 

  128. Kantor HG, Evans JA, Glen F: Cholangiography; critical analysis. Arch Surg 70: 237–252, 1955.

    CAS  Google Scholar 

  129. Schwartz A, Birnbaum D: Roentgenologic study of the topography of the choledochoduodenal junction. AJR 87: 772–776, 1962.

    CAS  Google Scholar 

  130. Poppel MH, Jacobson HG, Smith RW: The Roentgen Aspects of the Papilla and Ampulla of Vater. Springfield, Illinois: Charles C Thomas 1953.

    Google Scholar 

  131. Baggenstoss AH: Major duodenal papilla. Variations of pathologic interest and lesions of mucosa. Arch Pathol 26: 853–868, 1938.

    Google Scholar 

  132. Elias H, Sherrick JC: Morphology of the Liver. New York: Academic Press, 1969.

    Google Scholar 

  133. Op den Orth JO: Radiologic visualization of the normal duodenal minor papilla. Fortschr Röntgenstr 128: 572–576, 1978.

    CAS  Google Scholar 

  134. Boyden EA: The anatomy of the choledochoduodenal junction in man. Surg Gynec Obstet 104: 641–652, 1957.

    PubMed  CAS  Google Scholar 

  135. Liotta D: Pour le diagnostic des tumeurs du pancreas: La duodenography hypotonique. Lyon Chir 50:445–460, 1955.

    Google Scholar 

  136. Rösch J, Salamoun V: Die duodenographie in hypotonic ded diagnostik der pankreaserkrankungen. Radiologe 5: 289–298, 1965.

    PubMed  Google Scholar 

  137. Lawrence AM: Glucagon in medicine: New ideas for an old hormone. Med Clin North Am 54: 183–190, 1970.

    PubMed  CAS  Google Scholar 

  138. Chernish SM, Miller RE, Rosenak BD, Scholz NE: Hypotonic duodenography with the use of glucagon. Gastroenterology 63: 392–398, 1972.

    PubMed  CAS  Google Scholar 

  139. Miller RE, Chernish SM, Rosenak BD, Rodda BE: Hypotonic duodenography with glucagon. Radiology 108: 35–42, 1973.

    PubMed  CAS  Google Scholar 

  140. Miller RE, Chernish SM, Skucas J, Rosenak BD, Rodda BE: Hypotonic roentgenology with glucagon. AJR 121: 264–274, 1974.

    CAS  Google Scholar 

  141. Carsen GM, Finby N: Hypotonic duodenography with glucagon. A clinical comparison study. Radiology 118: 529–533, 1976.

    PubMed  CAS  Google Scholar 

  142. Eaton SB Jr, Ferrucci JT Jr. Radiology of the Pancreas and Duodenum. Philadelphia, WB Saunders, 1973.

    Google Scholar 

  143. Benedict KT, Ferrucci JT Jr, Eaton SB: Hypotonic duodenography: Current concepts in technique, interpretation, and clinical usefulness. CRC Crit Rev Radiol Sci 1: 567–578, 1970.

    Google Scholar 

  144. Hampton AO: A safe method for the roentgen demonstration of bleeding duodenal ulcers. AJR 38: 565, 1937.

    Google Scholar 

  145. Shirakabe H, Ichikawa H, Kumakura K, et al: Atlas of X–ray Diagnosis of Early Gastric Cancer. Philadelphia: JP Lippincott 1966.

    Google Scholar 

  146. Shirakabe H: Double Contrast Studies of the Stomach. Stuttgart: Georg Thieme Verlag 1972.

    Google Scholar 

  147. Goldstein HM, Zboralske FF: Tubeless hypotonic duodenography. JAMA 210: 2086–2088, 1969.

    PubMed  CAS  Google Scholar 

  148. Martel W, Scholiens PA, Lim LW: “Tubeless” hypotonic duodenography: Technique value and limitations. AJR 107: 119–120, 1969.

    CAS  Google Scholar 

  149. Sear HS, Friedenberg MJ: Simplified technique for tubeless hypotonic duodenography. Radiology 103: 210, 1972.

    PubMed  CAS  Google Scholar 

  150. Op den Orth JO: Hypotonic duodenography without the use of a stomach tube. Radiol Clin Biol 42: 173–179, 1973.

    PubMed  CAS  Google Scholar 

  151. Laufer I: A simple method for routine double-contrast study of the upper gastrointestinal tract. Radiology 117: 513–518, 1975.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 1982 Springer-Verlag New York, Inc.

About this chapter

Cite this chapter

Freeny, P.C., Lawson, T.L. (1982). Pancreatic and Biliary Ducts and Duodenum. In: Radiology of the Pancreas. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-5689-2_4

Download citation

  • DOI: https://doi.org/10.1007/978-1-4612-5689-2_4

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-5691-5

  • Online ISBN: 978-1-4612-5689-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics