Platinum Health, LLC.: Duodenum
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Diseases of the Duodenum
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The stomach delivers its contents into the small intestine, which is about 24 feet in length. The first portion of the intestinal tract, the duodenum, is routinely evaluated during upper endoscopy. It is also the site where the hepatobiliary tract and pancreas deliver their contents to assist in the digestion of food.
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Balloon Stone Extraction
After a sphincterotomy is performed, a balloon tipped catheter is inserted into the bile duct, inflated above a stone and dragged down the duct to remove the stone. Here, a pigment stone is about to be removed from the orifice.
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Celiac Sprue
Gluten is a protein in wheat, barley rye and oats. In susceptible individuals, gluten is toxic to the cells lining the intestine, causing a gluten sensitive enteropathy, or more commonly termed "celiac sprue." It usually responds to a gluten free diet.
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Duodenal Papilla
The duodenal papilla is the site where the hepatobiliary and pancreatic ducts enter the duodenum.
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Cannulation of the Duodenal Papilla
The duodenal papilla can be cannulated with a small tube and dye injected into either the biliary or pancreatic ducts to obtain radiographic images. This procedure is called endoscopic retrograde cholangiopancreatography (ERCP).
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Biliary Sphincterotomy
On occasion, it is necessary to make a cut in the duodenal papilla and through the muscles enveloping the ducts. This technique is called a sphincterotomy, and it enlarges the opening of the duct to allow removal of stones from the bile duct.
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