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Summary

Samenvatting Echografie: Pancreas

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Uitgebreide samenvatting waarin alle aspecten van de lessen en colleges in verwerkt zijn: anatomie, pathologie, scantechniek en de beeldherkenningplaatjes. Verder uitgewerkt met de tips and trics uit de weblectures en echoreader. Interesse in meerdere samenvattingen? Mail mij via InHolland: 662966

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  • September 23, 2023
  • 11
  • 2022/2023
  • Summary
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Pancreas
Onderzoek..................................................................................................................................................... 2

Functie.......................................................................................................................................................... 2

Ligging........................................................................................................................................................... 2

Echografische verschijning............................................................................................................................. 3

Afmetingen.................................................................................................................................................... 3

Scanplan........................................................................................................................................................ 3
Sagittaal...............................................................................................................................................................4

Pathologie..................................................................................................................................................... 4

Beeldherkenning anatomie............................................................................................................................ 8

Beeldherkenning pathologie........................................................................................................................ 10

, Anatomie
- Cauda Pancreas
- Corpus Pancreas
- Caput Pancreas (6cm)
- Processus Uncinatus
- Ductus Pancreaticus
- Ductus Choledochus
- Arteria Gastroduodenalis

Onderzoek
ERCP (endoscopisch onderzoek)
Endoscopische Retrograde CholangioPancreaticografie


Functie
- Endocriene functie:
o Bloedsuikerregulatie
o Afgifte insuline en glucagon aan
de bloedbaan
- Exocriene functie:
o Productie spijsverteringssappen
o Amylase en lipase
o Uitscheiding duodenum

Ligging
Relatie van de verschillende pancreasdelen ten opzichte van de vaten:
- Ventraal van de vena lienalis tot de confluens: staart: cauda en corpus
- Pancreas ligt caudaal van de truncus coeliacus
- Dorsaal van v. mesenterica superior; processus uncinatus; kop met processus
uncinatus krult zich dus als het ware om vena mesenterica superior heen
(hamburger), waarbij de processus uncinatus tot zeer ver naar links kan reiken tot
zelfs dorsaal van de arteria mesenterica superior.
- Ventraal van vena cava inferior, caudaal van v. porta; kopgedeelte; kopgedeelte kan
tot zeer ver naar caudaal reiken, in algemeen tot niervenen niveau echter lager is ook
mogelijk.

Om pancreas heen loopt duodenum. Ventraal van vena porta loopt ductus choledochus.
Galblaas met ductus cysticus. Ductus choledochus met ductus pancreaticus komen samen uit
in de papil van Vater in het duodenum.
Milt ligt bij de staart van het pancreas. Pancreas ligt dorsaal van de maag.
Patiënt niet nuchter of veel lucht dan lastig af te beelden.

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