+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Diagnosis and therapy of pancreas divisum by ERCP: a single center experience

Diagnosis and therapy of pancreas divisum by ERCP: a single center experience

Journal of Digestive Diseases 14(2): 93-99

The aim of this study was to determine the diagnosis and endoscopic management of pancreas divisum with results from long-term experience at our institution. A prospectively collected database of all patients who underwent endoscopic retrograde cholangiopancreatography (ERCP) with the diagnosis of pancreas divisum at our institution from January 2001 to April 2010 was retrospectively analyzed. A total of 45 patients were identified with pancreas divisum with 62 ERCP procedures. The major indication for ERCP included pancreatitis in 33 patients (73.3%), of whom 18 had idiopathic recurrent acute pancreatitis, 8 had recurrent pancreatic-type pain and 7 had chronic pancreatitis. The median size of the incision of sphincterotomy was 5 mm (range 3-8 mm). In all 37 patients (82.2%) underwent placement of stent into the dorsal pancreatic duct, with a median stent size of 5 Fr by 7 cm (range 3-10 Fr by 3-12 cm). The overall response rate was 75.8%. The frequency of finding pancreas divisum during ERCP varies among institutions and is low compared with the autopsy series, given that many patients may remain asymptomatic or might not undergo ERCP even if the symptoms develop. Our study is the first to describe specific procedure-related details during therapeutic endoscopy for pancreas divisum.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 036630631

Download citation: RISBibTeXText

PMID: 23134252

DOI: 10.1111/1751-2980.12004

Related references

Pancreas divisum and other congenital anomalies of the efferent system of the pancreas ercp diagnosis and clinical relations. Ceskoslovenska Gastroenterologie a Vyziva 43(1): 39-45, 1989

Coexistence of annular pancreas and pancreas divisum--ERCP diagnosis. Gastrointestinal Endoscopy 31(1): 25-28, 1985

ERCP and CT diagnosis of pancreas divisum and its relation to etiology of chronic pancreatitis. World Journal of Gastroenterology 4(2): 150-152, 1998

Sensitivity of endoscopic ultrasound, multidetector computed tomography, and magnetic resonance cholangiopancreatography in the diagnosis of pancreas divisum: a tertiary center experience. Pancreas 42(3): 436-441, 2013

ERCP with cholangiopancreatoscopy may be associated with higher rates of complications than ERCP alone: a single-center experience. Gastrointestinal Endoscopy 73(2): 251-256, 2011

Diagnosis of early pancreas graft failure via antibody-mediated rejection: single-center experience with 256 pancreas transplantations. American Journal of Transplantation 14(4): 936-942, 2014

Pancreas divisum--the role of ERCP in children. West Virginia Medical Journal 95(1): 14-16, 1999

Diagnosis and therapy of pancreas divisum. Gastrointestinal Endoscopy Clinics of North America 8(1): 55-77, 1998

Morphological Study of Pancreas Divisum in Niigata Using ERCP. Digestive Endoscopy 6(2): 158-162, 1994

Pancreas divisum as a possible cause of misinterpretation in ERCP, computed tomography, sonography and MDP. Rofo 144(3): 273-277, 1986

Diagnosis, morphopathological profile and treatment of mucinous cystadenoma of the pancreas - a single center experience. Romanian Journal of Morphology and Embryology 59(4): 1155-1163, 2018

Pancreatico-choledochal angle in pancreas divisum An anatomical evaluation of ERCP. Acta Anatomica 152(4): 349, 1995

Pancreas divisum A rare anomaly in Iran report in 3000 ERCP examinations. Gastroenterology 110(4 Suppl. ): A15, 1996

Incidence of pancreas divisum, annular pancreas and incomplete pancreas divisum in a series of 1996 pancreatographies. Medicina Clinica 93(10): 398, 1989

Clinical experience in 82 patients with pancreas divisum preliminary results of manometry and endoscopic therapy. Gastroenterology 88(5 Part 2): 1572, 1985