MEDRADSC 3C03 Lecture Notes - Lecture 8: Blood Sugar Regulation, Pancreatic Duct, Bile Duct
Document Summary
Functions: endocrine: blood sugar regulation via insulin and glucagon, function of islet cells in the pancreas, exocrine: digestion enzymes excreted through pancreatic duct, proteases, digest protein, amylase, digests starch, lipase, digests fat, function of acinar and epithelial cells. Ecrp with biliary stenting: stenting if worried about tumors compressing cbd or other ducts this keeps them open. Eus: ultrasound camera in on the end, live scope guides them down to correct level, the enzymes from he pancreas are very destructive so minimal invasion into. Image stones in distal cbd the tissue is necessary: almost always an fna being carried out, fna can choose how far they can advance the needle. Imaging of head of the pancreas and distal cbd: fna biopsy of solid mass, fna aspiration of pseudocysts. Imaging of duodenum and the ampulla of vater: contrast injection to assess cbd, pancreatic duct, stenting of cbd.