Prevalence Of Patency Of Accessory Pancreatic Duct At Minor Papilla In South Indian Population: A Cadaveric Study

ABSTRACT

The accessory pancreatic duct is the smaller and less constant pancreatic duct in comparison with the mainpancreatic duct. We investigated the patency of the accessory pancreatic duct and its role in pancreaticpathophysiology. The present study was carried out in the department of Anatomy and forensic medicine, ACSRGovt. medical college, Nellore, Andhra Pradesh, India and in the department of Anatomy, RIMS, Ongole, AndhraPradesh, India. With 96 human cadavers (64 males and 32 females) with 30 to 80 years age group have beenstudied after obtained of ethical committee permission. The dissection method was followed to obtain specimenof pancreas along with C-loop of duodenum, papillae were identified ad dye was injected into APD to see itspatency at MIP. 93.75% specimens present MIP. The prevalence of patency of APD at MIP in population understudy was 38.89%; this is more in males was 43.33%, when compared to the females was 30% but this differencewas not significant statistically. It observed that out of 35 patent APD cases, 33 cases had inter papillarydistance either 2cm or more than 2cm. I t indicates 94.29% of patent APD cases had inter-papillary distancee”2cm. So there is strong relationship between APD patency and inter papillary distance in population understudy. The means inter-papillary distance in patent APD cases was 2.29 ± 0.2cm and non-patent APD cases was1.85 ± 0.25 cm. This difference was statistically significant.