Scholars International Journal of Anatomy and Physiology (SIJAP)
Volume-1 | Issue-03 | 76-79
Original Research Article
A Study on Position of Minor Duodenal Papilla Related to Major Duodenal Papilla among South Indians - A Cadaveric Study
N. Vinay Kumar, S. Lokanadham
Published : Oct. 30, 2018
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.