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The ductal pancreas network originates from the central pancreatic duct—this main duct with the bile duct opens into the duodenum. The ductal cells of the main pancreatic duct are bound by connective tissue and produce a columnar epithelium. [3] Interlobular ducts originate from the main pancreatic duct and connect the various pancreatic lobes.
The exocrine pancreas is one of two compartments that include digestive-acting acinar cells and duct cells.They represent an extension of the intercalated duct into each pancreatic acinus. [1] These cells are commonly known as duct cells , and secrete an aqueous bicarbonate solution under stimulation by the hormone secretin .
The pancreatic duct is generally regarded as abnormally enlarged if being over 3 mm in the head and 2 mm in the body or tail on CT scan. [9] Pancreatic duct or parts of pancreatic duct can be demonstrated on ultrasound in 75 to 85% of people. [10] Pancreatic ductal carcinoma is a common form of pancreatic cancer.
An intralobular duct is the portion of an exocrine gland inside a lobule, leading directly from acinus to an interlobular duct (between lobules). It is composed of two subdivisions, the intercalated duct and the striated duct. In the human mammary gland, the intralobular duct is a part of the glandular system that resides within the lobules.
Pancreatic mesenchymal stem cells isolated from ductal digests have also been shown to have a regenerative potential under the effect of certain growth factors. [ 29 ] [ 30 ] They have also been shown to give rise to cells of at least two different germ layers.
The isthmus (also called the central pancreas) is the region of the gland that runs anterior to the superior mesenteric artery; by convention, it divides the right and left sides of the pancreas. [2] The ventral pancreatic bud forms the pancreatic head and uncinate process. The glands continue to develop but the duct systems anastomose.
Ghrelin released from ε-cells have been found to promote cell growth and proliferation while also inhibiting apoptosis of pancreatic beta cells in the human pancreas. [5] Some ε-cells express cytokeratin 20 , a marker of duct cells and islet precursor cells, hinting that these islet cells originate from the ductal epithelium.
The double duct sign is a radiological finding characterized by the simultaneous dilation of the common bile duct and the main pancreatic duct.This sign is significant because it often indicates an obstruction in the distal bile duct and pancreatic duct, frequently caused by serious underlying pathologies such as pancreatic carcinoma or periampullary tumors. [1]