Tröbs R, Mahnke P F
Institut für Pathologische Anatomie, Karl-Marx-Universität Leipzig.
Zentralbl Chir. 1988;113(4):235-40.
Series of histological sections of the major duodenal papilla were examined. The samples had been taken from human aged between 28 gestational weeks and 19 years. Reflux-preventing structures were found regularly developed in all specimens. Short common terminal canals (duodenal diverticle) were seen in 44 of 46 cases (96 per cent). Pancreatico-biliary union at the level of the duodenal window or below was established even from immature newborns. In two cases, the common bile duct and the main pancreatic duct had orifices in close neighbourhood to each other. They ended on the papilla without formation of a common canal. Abnormal pancreatico-biliary duct union above the duodenal window was not found. Pathophysiological consequences of supra-duodenal duct junction are discussed.
对十二指肠大乳头的一系列组织学切片进行了检查。样本取自妊娠28周龄至19岁的人类。在所有标本中均发现防反流结构发育正常。46例中有44例（96%）可见短的共同终末管（十二指肠憩室）。即使是未成熟的新生儿，在十二指肠窗水平或其以下也可发现胰胆管汇合。在两例中，胆总管和主胰管的开口彼此紧邻。它们在乳头上终止，未形成共同管道。未发现十二指肠窗上方的胰胆管异常汇合。讨论了十二指肠上导管连接的病理生理后果。
