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EFFECTS OF PANCREATITIS ON THE SMALL BOWEL AND COLON: SPREAD ALONG MESENTERIC PLANES

MORTON A. MEYERS M.D. and JOHN A. EVANS M.D.

1. Pancreatitis extends along the mesenteric planes of the transverse mesocolon to the large intestine and via the small bowel mesentery to the jejunum, ileum and cecum.

2. In the large intestine, the transverse colon and particularly the splenic flexure are most commonly involved. The distal ascending colon may be involved by way of a duodenal fistula.

3. In the small bowel, the inflammatory process may selectively involve jejunal loops or may progress down the length of the mesentery to localize in the ileocecal area. Malabsorption may result from the effects of pancreatitis on the small bowel.

4. The precise anatomic pathways and roentgenologic findings are described and illustrated. The lesions produced range from transient spasm to the development of obstructive strictures and remote exudative abscesses.


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