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Anatomía, Histología y
Fisiología PancreáticaJesús Armando Nochebuena López
Gastroenterología clínica
Dr. José Manuel Verdugo
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+ Anatomía
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+Anatomía
Glándula suave, aplanada y alargada
Estructura lobular
12-20 cm de longitud
70-110 g de peso
No capsulado
T. Yamada. 2009. Textbook of Gastroeneterology. 5th ed. UK.
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+Anatomía
David A. Morton. 2011. The Big Picture: Gross Anatomy. USA
Anthony J. DiMarino. 2010. Sleisenger and Foldtrans: Gastrointestinal and Liver Disease. 9th ed. USA
T. Yamada. 2009. Textbook of Gastroeneterology. 5th ed. UK.
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Kenneth P. Moses. 2013. Atlas of Clinical Gross Anatomy. 2nd Ed. USA
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Kenneth P. Moses. 2013. Atlas of Clinical Gross Anatomy. 2nd Ed. USA
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+Irrigación
David A. Morton. 2011. The Big Picture: Gross Anatomy. USA
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+Drenaje Venoso
David A. Morton. 2011. The Big Picture: Gross Anatomy. USA
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+Drenaje Linfático
T. Yamada. 2009. Textbook of Gastroeneterology. 5th ed. UK.
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+Inervación
Nervios : vago y esplacnico -> ganglios parasimpáticos
intrapancreaticos
Fibras postganglionares: inervan los acinos y los ductos
Las fibras simpáticas solo inervan vasos sanguíneos
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+Sistema Ductal
Cola ➧ Ámpula de Váter
4-2 mm de diámetro
Conducto de Santorini 40-70 %
T. Yamada. 2009. Textbook of Gastroeneterology. 5th ed. UK.
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+ Histología
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Leslie P. Gartner. 2013. Color Atlas and Text of Histology. 6th ed. USA
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Michael H. Ross. 2011. Histology A Text and Atlas. 6th ed. USA
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Michael H. Ross. 2011. Histology A Text and Atlas. 6th ed. USA
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+ Fisiología
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+Composición del Jugo Pancreático
Agua y electrolitos
Incoloro, alcalino e isotónico
Secreción diaria 1 L
Ca, Mg, Zn, HPO4 y SO4
T. Yamada. 2009. Textbook of Gastroeneterology. 5th ed. UK.
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T. Yamada. 2009. Textbook of Gastroeneterology. 5th ed. UK.
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+Composición del Jugo Pancreático
Anthony J. DiMarino. 2010. Sleisenger and Foldtrans: Gastrointestinal and Liver Disease. 9th
ed. USA
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+Composición del Jugo Pancreático
Tripsinogeno Tripsina
EnterocinasaQuimotripsina
Tripsinogeno
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+Síntesis y Transporte de Enzimas
Síntesis
RER
mRNA
Aparato de
Golgi
Cimógenos
Lisosomas
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+Regulación Celular de la Secreción
IP3
Anthony J. DiMarino. 2010. Sleisenger and Foldtrans: Gastrointestinal and Liver Disease. 9th
ed. USA
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+Fisiología Orgánica
Secreción Interdigestiva
Cíclico (MMC) 60-120 min
⬆ Secreción de enzimas y HCO3 (II y III)
Secreción Digestiva
Cefálica: Vago ⬆ secreción enzimática
Gástrica: Distención gástrica y vagal
Intestinal: Secretina ⬆ HCO3 y agua
T. Yamada. 2009. Textbook of Gastroeneterology. 5th ed. UK. Anthony J. DiMarino. 2010. Sleisenger and Foldtrans: Gastrointestinal and Liver Disease.
9th ed. USA
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+Fisiología Orgánica
Anthony J. DiMarino. 2010. Sleisenger and Foldtrans: Gastrointestinal and Liver Disease. 9th
ed. USA
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+Feedback
Secreción
pancreática
Intestino
Tripsina/Proteínas
de las comidas
CCK
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