Therapeutic Neurotomy on Head of Pancreas for Relief of Pain Due to Chronic Pancreatitis

Clinical Significance of Intraportal Endovascular Ultrasonography for the Diagnosis of Extrapancreatic Nerve Plexus Invasion by Pancreatic Carcinoma

“…The diagnostic principal behind IPEUS was based on the anatomical relation between pancreas and retroperitoneal nerve plexuses. Yoshioka and Wakabayashi [14], who first studied the pancreatic head nerve Tezel/Kaneko/Sugimoto/Takeda/Inoue/ Nagasaka/Nakao plexus in detail, divided PL into two main portions. The first portion extends from the right celiac ganglia to the upper median margin of the uncinate process of the pancreas, and the second portion extends from the SMA to the median margin of the uncinate process.…”

CT and MR imaging patterns for pancreatic carcinoma invading the extrapancreatic neural plexus (Part I): Anatomy, imaging of the extrapancreatic nerve

“…Concerning the innervation of the pancreas, Yoshioka et al [32] and Yi et al [3] explained that the plexus pancreaticus capitalis (P��) could be divided into two parts, P��-(P��) could be divided into two parts, P��-P��) could be divided into two parts, P��-) could be divided into two parts, P��-could be divided into two parts, P��-Ⅰ and -Ⅱ. The main routes for both of the nerves from the celiac plexus and the ganglia to the pancreas include two parts, one being the direct route from the celiac ganglia to the posterior surface of the head of the pancreas (P��-Ⅰ) and the other route extending from the bilateral celiac ganglion to the left margin of the uncinate process, via the plexus, around the superior mesenteric artery (SMA) (P��-Ⅱ) [1] (Figures 1 and 2).…”

Pain management in chronic pancreatitis

“…A different approach to pancreatic denervation was suggested by Yoshioka and Wakabayashi in 1958 [121]. After studying the neuroanatomy of postganglionic nerve fibres travelling from the coeliac ganglion to pancreatic parenchyma they recommended a selective bilateral neurectomy of the fibres entering the pancreas from the right and left ganglia.…”