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We demonstrate the feasibility of diffuse optical tomography (DOT) of the proximal pancreas by using optical applicator channels deployed longitudinally along the exterior surface of a duodenoscope. As the duodenum that nearly encircles the proximal pancreas forms a natural "C-loop" that is approximately three-quarters of a circle of 5-6 cm in diameter, a multichannel optical applicator attached to a duodenoscope has the potential to perform transduodenal DOT sampling of the bulk proximal pancreas wherein most cancers and many cystic lesions occur. The feasibility of transduodenal DOT is demonstrated on normal porcine pancreas tissues containing an introduced gelatinous inclusion of approximately 3 cm in diameter, by using nine source channels and six detector channels attached to a duodenoscope. Concurrent ultrasonography of the gelatinous inclusion in the porcine pancreas parenchyma provided a coarse, albeit indispensable, anatomic prior to transduodenal DOT in reconstructing a contrast of optical properties in the pancreas.
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http://dx.doi.org/10.1364/OL.38.004142 | DOI Listing |
Signals from the gut enhance pancreatic secretion of insulin and thus influence glucose metabolism. This phenomenon, known as the incretin effect, is thought to be mediated by hormones secreted from enteroendocrine cells. The endocrine model, however, does not fully capture the complexity of gut-pancreas interactions.
View Article and Find Full Text PDFStud Health Technol Inform
August 2025
The Australian National University, Australia.
Type 1 Diabetes (T1D) is a chronic condition affecting millions worldwide, requiring external insulin administration to regulate blood glucose levels and prevent serious complications. Artificial Pancreas Systems (APS) for managing T1D currently rely on manual input, which adds a cognitive burden on people with T1D and their carers. Research into alleviating this burden through Reinforcement Learning (RL) explores enabling the APS to autonomously learn and adapt to the complex dynamics of blood glucose regulation, demonstrating improvements in in-silico evaluations compared to traditional clinical approaches.
View Article and Find Full Text PDFAdv Surg
September 2025
Department of Surgery, Thomas Jefferson University, 1015 Walnut Street, Curtis 620, Philadelphia, PA 19107, USA; Enterprise Surgery, Jefferson Health, Philadelphia, PA, USA.
Survivorship after pancreaticoduodenectomy (PD) has substantially increased over the past 3 decades and this has resulted in more patients manifesting with long-term sequelae from the surgery. PD results in notable changes to the endocrine and exocrine functions of the pancreas. Additionally, the resection of the duodenum and proximal jejunum impacts the intestinal absorption of key micronutrients resulting in iron-deficiency anemia and accelerated osteoporosis.
View Article and Find Full Text PDFCureus
June 2025
Internal Medicine, BronxCare Health System, Bronx, USA.
The celiac artery, also known as the celiac trunk, originates from the abdominal aorta at the level of the 12th thoracic vertebra. Arising from the anterior aorta, this ultrashort artery plays an integral role in supplying blood to the stomach, liver, spleen, pancreas, and proximal duodenum. Arterial dissection is a life-threatening emergency most frequently reported in the aorta, while visceral arterial dissections remain uncommon or may be undetected.
View Article and Find Full Text PDFChirurgia (Bucur)
June 2025
The celiac trunk (CT), as the first major ventral branch of the abdominal aorta, plays a critical role in the vascularization of foregut-derived organs, including the stomach, liver, spleen, pancreas, and proximal duodenum. While the classic trifurcation pattern, known as Tripus Halleri, is observed in the majority of individuals, numerous studies have highlighted a remarkable degree of anatomical variability in its branching pattern, origin, and structural characteristics. This narrative review explores the embryological foundations, physiological anatomy, and clinical implications of CT variations, drawing upon historical and contemporary classifications - from Haller's descriptive observations to the structured systems proposed by Lipshutz, Michels, and Panagouli.
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