Standard Data of the Morphometric Parameters of the Pancreas in the Iranian Population

Document Type : Original Article

Authors

1 Neurogenic Inflammation Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

2 Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran

3 Mashhad Legal Medicine Research Center, Legal Medicine Organization, Mashhad, Iran

4 Department of Community Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

5 Department of Public Health, School of Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Background: The pancreas is a mixed gland associated with the digestive system. To the best of our knowledge, there is no study on normal pancreatic standards in the Iranian population.

Objectives: Hence, the aim of this study was to examine the morphometry of the pancreas in terms of length, width, weight, and variations of cadavers in Khorasan Razavi province.

Methods: A total of 312 cadavers (67 female/ 245 male) were included in the study between May 2014 and August 2015, in the Legal Medicine Organization, Mashhad, Iran. Demographic values were obtained from ever fresh Iranian cadaver. Length, width and weight of pancreas were measured using standard tools. Pancreas were observed carefully, whether any variations were present. Collected data were analyzed using SPSS software.

Results: Three hundred twelve cadavers with a mean age of 42.48 ± 21.39 were enrolled to the study. The mean values of the pancreas length, width, weight, and index of the pancreas were 15.22 ± 5.09 cm, 8.21 ± 4.38 cm, 3.41 ± 0.69, 72.68 ± 23.77 grams, and 1.24 ± 0.57, respectively. The variation of pancraticodeodenal duct was in 2.6% of cases (n=8). There was no significant difference between the morphometric values of the pancreas between males and females (P>0.05). The width and index of pancreas was correlated statistically with BMI, body height and weight (P<0.05). A correlation with body height and weight was found for the pancreas length and weight (P<0.05).

Conclusion: Understanding the anatomy of the normal pancreas is useful for both anthropologists and anatomists. Besides, it provides good information for pancreatic segmental resection for surgeons.

Keywords

Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

References

1.Dark RL, Vogle AW, Mithell AW. Gray's anatomy, in alimentary system. 3rd ed. London: Churchill Livingstone; 2015. P. 333-5.
 
2. Mescher AL. Junqueira's basic histology: text and atlas. 13th ed. New York: Mcgraw-Hill; 2013. P. 326-8.
 
3. Sadler TW. Langman's medical embryology. 13th ed. Philadelphia: Lippincott Williams & Wilkins; 2015. P. 238-9. Mohammadi S et al.Razavi Int J Med. 2018; 6(3):e58590. 35
 
4. Bannister HL. Pancreas, liver and gall bladder. Gray's anatomy. 38th ed. London: Churchill Livingstone; 2000. P. 1790-1.
 
5. Sinnatamby CS. Head and neck and spine. Last's anatomy. 11th ed. London: Churchill Livingstone; 2006. P. 277.
 
6. Fawcett D, Jensh R. Bloom & Fawectt's concise histology. 2nd ed. London: Arnold; 2002. P. 217.
 
7. Kozu T, Suda K, Toki F. Development of pancreas and biliary duct. In: DiMarino AJ, editor. Gastrointestinal disease: an endoscopic approach. 2nd ed. Thorofare, US: Slack Incorporated; 2002. P. 978-9.
 
8. Djuric-Stefanovic A, Masulovic D, Kostic J, Randjic K, Saranovic D. CT volumetry of normal pancreas: correlation with the pancreatic diameters measurable by the cross-sectional imaging, and relationship with the gender, age, and body constitution. Surg Radiol Anat. 2012;34(9):811-7. [PubMed: 22434256].
https://doi.org/10.1007/s00276-012-0962-7
PMid:22434256
 
9. Basnet KS, Thapa TP, Upreti RP, Dangol RMS, Shrestha RN, Dhungel S. A morphometric study of human pancreas in Nepalese people. Nepal Med Coll J. 2011;13(2):88-91. [PubMed: 22364088].
 
10. Sulochana S, Sivakami T. A gross morphological study of the pancreas in human cadavers. Natl J Clin Anat. 2012;1(2):55-60.
https://doi.org/10.1055/s-0039-3401669
https://doi.org/10.4103/2277-4025.298007
 
11. Firoz A. A gross morphological study of human postmortem pancreas in Bangladeshi people. Bangeladesh J Anat. 2010;8(2):56-8.
https://doi.org/10.3329/bja.v8i2.7016
 
12. Innes JT, Carey LC. Normal pancreatic dimensions in the adult human. Am J Surg. 1994;167(199):261-3. [PubMed: 8135316].
https://doi.org/10.1016/0002-9610(94)90088-4
PMid:8135316
 
13. Narongchai P, Narongchai S. Study of the normal internal organ weights in Thai population. J Med Assoc Thai. 2008;91(5):747-53. [PubMed: 18672642].
 
14. Caglar V, Kumral B, Uygur R, Alkoc OA, Ozen OA, Demirel H. Study of volume, weight and size of normal pancreas, spleen and kidney in adults autopsies. Forensic Med Anat Res. 2014;2(3):63-9..
https://doi.org/10.4236/fmar.2014.23012
 
15. Sheikhazadi A, Sadr SS, Ghadyani MH, Taheri SK, Manouchehri AA, Nazparvar B, et al. Study of the normal internal organ weights in Tehran's population. J Forensic Leg Med. 2010;17(2):78-83. [PubMed: 20129426].
https://doi.org/10.1016/j.jflm.2009.07.012
PMid:20129426
 
16. Ara S, Shahriah S, Begum S. The length of main pancreatic duct in Bangladeshi cadaver at different age groups. Mymensingh Med J. 2011;20(2):298-302. [PubMed: 21522104].
 
17. Schaefer JH. The normal weight of pancreas in the adult human being: a biometric study. Anat Rec. 1926;32(2):119-32.
https://doi.org/10.1002/ar.1090320204
 
18. Bock T, Pakkenberg B, Buschard K. Genetic background determines the size and structure of the endocrine pancreas. Diabetes. 2005;54(1):133-7. [PubMed: 15616020].
https://doi.org/10.2337/diabetes.54.1.133
PMid:15616020
 
19. 19- de la Grandmaison GL, Clairand I, Durigon M. Organ weight in 684 adult autopsies: new tables for a Caucasoid population. Forensic Sci Int. 2001;119(2):149-54. [PubMed: 11376980].
https://doi.org/10.1016/S0379-0738(00)00401-1
PMid:11376980
 
20. Kin T, Murdoch TB, Shapiro AM, Lakey JR. Estimation of pancreas weight from donor variables. Cell Transplant. 2006;15(2):181-5. [PubMed: 16719052].
https://doi.org/10.3727/000000006783982133
PMid:16719052
 
21. Yu J, Turner MA, Fulcher AS, Halvorsen RA. Congenital anomalies and normal variants of the pancreaticobiliary tract and the pancreas in adults: part 1, Biliary tract. AJR Am J Roentgenol. 2006;187(6):1536-43. [PubMed: 17114548].
https://doi.org/10.2214/AJR.05.0772
PMid:17114548
Razavi International Journal of Medicine
Volume 6, Issue 3
July 2018
Pages 7-11

Files

Share

How to cite

Statistics