Main pancreatic duct
with dysplastic epithelium and isolated duct-like structures with pleomorphic nuclei and mild desmoplastic response (ductal carcinoma foci) (HE, x100).
(c) Fusiform dilated main pancreatic duct
in the pancreatic head, with small filling defect suspected.
However, several studies showed that the use of fibrin for sealing the cutting surface after PD or DP as well as for occlusion of the main pancreatic duct
was not associated with a reduction of POPF [18,35].
In this study, we confirmed that AIP patients could form severe pancreatic stones in the main pancreatic duct
or throughout the entire pancreas and evaluated the risk factors that contributed to AIP progression to definite/probable CP.
Endoscopically placed pancreatic stent in a patient with concomitant two locations of main pancreatic duct
disruption following pancreatic trauma.
CT scan done at 10 years after initial diagnosis as part of routine surveillance revealed gross dilatation of main pancreatic duct
to 10 mm along with a widely patent communication between the pancreatic duct and the stomach raising the possibility of a spontaneous gastro-pancreatic fistula measuring up to 19 mm associated with layering of mucin within the stomach.
As with grade 3 injuries, division or damage to the main pancreatic duct
and parenchyma near the junction of head and neck are optimally managed by resection of the neck, body and tail.
Four parenchymal criteria (hyperechoic foci, hyperechoic strands, hypoechoic lobules, cysts) and 5 ductal criteria (dilated main pancreatic duct
, dilated side branches, main duct irregularity, hyperechoic duct margins, and stone) are generally accepted to be indicative of CP.
"We have found that there are two main types--IPMTs in the main pancreatic duct
, and others in the branch ducts.
Pancreatic juice (10 mL) was obtained by aspiration from the main pancreatic duct
of patients undergoing endoscopic retrograde cholangiopancreatography and added to tubes containing 1 mL of 10 mmol/L benzamidine and stored at -20[degrees]C until further preparation.
The main pancreatic duct
runs the length of the pancreas.
Furthermore, when transmural drainage did not lead to complete regression of WOPN, in some patients with communication of the main pancreatic duct
with collection cavity observed during ERP additional transpapillary, drainage was used.