358 results match your criteria Pancreas Divisum Imaging


The Utility of Endoscopic Ultrasound in Patients with Isolated Elevations in Serum Amylase and/or Lipase.

Clin Endosc 2019 Jan 16. Epub 2019 Jan 16.

Division of Digestive and Liver Diseases, Columbia University Irving Medical Center, New York, NY, USA.

Background/aims: The aim of this study was to describe the diagnostic yield of endoscopic ultrasound (EUS) in patients with isolated elevated levels of amylase and/or lipase.

Methods: A retrospective chart review was conducted at a large academic medical center from 2000 to 2016. Patients were selected based on having elevated amylase, lipase, or both, but without a diagnosis of pancreatitis or known pancreatobiliary disease. Read More

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http://dx.doi.org/10.5946/ce.2018.110DOI Listing
January 2019
4 Reads

Annular pancreas: endoscopic and pancreatographic findings from a tertiary referral ERCP center.

Gastrointest Endosc 2019 02 18;89(2):322-328. Epub 2018 Sep 18.

Division of Gastroenterology and Hepatology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.

Background And Aims: Annular pancreas is a congenital anomaly whereby pancreatic tissue encircles the duodenum. Current knowledge of endoscopic findings of annular pancreas is limited to small case series. The aim of this study was to describe the endoscopic and pancreatographic findings of patients with annular pancreas at a large tertiary care ERCP center. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00165107183303
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http://dx.doi.org/10.1016/j.gie.2018.09.008DOI Listing
February 2019
7 Reads

The Role of Endoscopic Ultrasonography and Magnetic Resonance Cholangiopancreatography in Patients With Acute Pancreatitis After Negative Computed Tomography Findings of the Etiology.

Pancreas 2018 10;47(9):1165-1171

Radiology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea.

Objectives: We aimed to investigate the roles of endoscopic ultrasonography (EUS) and magnetic resonance cholangiopancreatography (MRCP) in detecting the causes of acute pancreatitis after negative computed tomography (CT) findings.

Methods: Demographic characteristics, blood test results, the severity of pancreatitis, and definite or possible etiology of pancreatitis by EUS and MRCP were evaluated prospectively in 65 consecutively admitted patients after negative CT findings.

Results: Endoscopic ultrasonography and/or MRCP confirmed the definite causes of pancreatitis in 47. Read More

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http://Insights.ovid.com/crossref?an=00006676-201810000-0001
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http://dx.doi.org/10.1097/MPA.0000000000001149DOI Listing
October 2018
8 Reads

Frequency of bile duct confluence variations in subjects with pancreas divisum: an analysis of MRCP findings.

Diagn Interv Radiol 2018 Mar-Apr;24(2):72-76

Department of Radiology, Ankara University School of Medicine, Ankara, Turkey.

Purpose: We aimed to evaluate the frequency of bile duct branching pattern variations at the hepatic confluence in patients with pancreas divisum (PD).

Methods: A search was performed through the hospital database using the keyword "pancreas divisum" to identify patients. The magnetic resonance cholangiopancreatography (MRCP) images of 137 patients who were diagnosed with PD between August 2011 and November 2016 were retrospectively analyzed for the presence of bile duct variations. Read More

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http://dx.doi.org/10.5152/dir.2018.17200DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5873505PMC
October 2018
4 Reads

Pancreaticopleural fistula: a rare cause of pleural empyema.

Acta Chir Belg 2018 May 2:1-4. Epub 2018 May 2.

a Department of Hepatobiliary , Transplantation and Endocrine Surgery, University Hospital Antwerp , Antwerp , Belgium.

Aim: Pancreaticopleural fistula (PPF) is a rare complication of acute or chronic pancreatitis. When the pancreatic duct disrupts, pancreatic fluid may leak into the retroperitoneum and fistulate into the pleural cavity. Patients usually present with thoracic complaints, making it hard to suspect an abdominal etiology. Read More

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http://dx.doi.org/10.1080/00015458.2018.1470293DOI Listing
May 2018
9 Reads

Interpreting body MRI cases: classic findings in abdominal MRI.

Abdom Radiol (NY) 2018 Oct;43(10):2790-2808

Radiology, Thomas Jefferson University Hospital, 132 South 10th Street, Suite 1087, Main Building, Philadelphia, PA, 19107, USA.

Few things in radiology are "pathognomonic" in their appearance or presentation. However, having an awareness of those findings which are specific to a certain entity is important when interpreting imaging studies. These classic findings can be identified with many imaging modalities, but no modality provides as many recognizable observations as an MRI. Read More

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http://dx.doi.org/10.1007/s00261-018-1551-yDOI Listing
October 2018
9 Reads

Comparison of EUS with MRCP in idiopathic acute pancreatitis: a systematic review and meta-analysis.

Gastrointest Endosc 2018 May 7;87(5):1180-1188.e9. Epub 2017 Dec 7.

Department of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang, People's Republic of China.

Background And Aims: Idiopathic acute pancreatitis (IAP) poses a diagnostic challenge for gastroenterologists, because confirmation of the disease etiology has important implications for the selection of the best possible treatment and the prevention of possible recurrence or the development of chronic pancreatitis (CP). ERCP, EUS, and MRCP typically are used to diagnose IAP when conventional radiologic methods fail. However, their exact role in the diagnosis of IAP has not yet been determined. Read More

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http://dx.doi.org/10.1016/j.gie.2017.11.028DOI Listing
May 2018
12 Reads

Groove Pancreatitis: Endoscopic Treatment via the Minor Papilla and Duct of Santorini Morphology.

Gut Liver 2018 Mar;12(2):208-213

Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Background/aims: Groove pancreatitis (GP) is an uncommon disease involving the pancreaticoduodenal area. Possible pathogenesis includes obstructive pancreatitis in the duct of Santorini and impaired communication with the duct of Wirsung, minor papilla stenosis, and leakage causing inflammation. Limited data regarding endoscopic treatment have been published. Read More

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http://dx.doi.org/10.5009/gnl17170DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5832346PMC
March 2018
6 Reads

Pancreatic hemi-agenesis in MEN1: A clinical report.

Eur J Med Genet 2018 Apr 23;61(4):181-184. Epub 2017 Nov 23.

Centre for Human Genetics, KU Leuven, Leuven, Belgium.

We first describe a patient with multiple endocrine neoplasia type 1 (MEN1) and dorsal pancreatic hemi-agenesis. Previously, pancreas divisum has been reported in MEN1. Recent data in mice have elucidated the molecular mechanisms of pancreatic endoderm specification. Read More

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http://dx.doi.org/10.1016/j.ejmg.2017.11.013DOI Listing
April 2018
17 Reads

The endoscopic ultrasound-assisted Rendez-Vous technique for treatment of recurrent pancreatitis due to pancreas divisum and ansa pancreatica.

Rev Esp Enferm Dig 2017 Nov;109(11):798-800

Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal. Universidad de Alcalá. IRICYS.

Endoscopic treatment of pancreatic ductal malformations causing recurrent acute pancreatitis, such as pancreas divisum or ansa pancreatica, is mainly based on the sphincterotomy of the minor papilla. However, the technical complexity of conventional endoscopic retrograde cholangiopancreatography (ERCP) is increased in patients presenting anatomical variants like these and it may be unsuccessful. We report the case of a pancreas divisum combined with ansa pancreatica and describe the cannulation and sphincterotomy of the minor papilla using an ultrasound-assisted Rendez-Vous technique. Read More

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http://dx.doi.org/10.17235/reed.2017.4949/2017DOI Listing
November 2017
24 Reads

Pancreatitis in Patients With Pancreas Divisum.

Pancreas 2017 Nov/Dec;46(10):e80-e81

Division of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, AZ Division of Biomedical Statistics and Informatics, Mayo Clinic, Scottsdale, AZ; Division of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, AZ; Department of Radiology, Mayo Clinic, Scottsdale, AZ; Division of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, AZ

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http://Insights.ovid.com/crossref?an=00006676-201711000-0002
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http://dx.doi.org/10.1097/MPA.0000000000000938DOI Listing
June 2018
14 Reads

Endoscopic therapy for patients with pancreaticobiliary maljunction: a follow-up study.

Oncotarget 2017 Jul;8(27):44860-44869

Department of Gastroenterology, Digestive Endoscopy Center, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.

Background: Data on the experience of endoscopic retrograde cholangiopancreatography (ERCP) in the management of pancreaticobiliary maljunction (PBM) is limited.

Methods: A retrospective review of patients with PBM who underwent therapeutic ERCP at our endoscopy center between January 2008 and January 2016 was performed. Demographic, clinical, radiological and endoscopic data was documented. Read More

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http://dx.doi.org/10.18632/oncotarget.16228DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5546526PMC
July 2017
10 Reads

Pancreas Divisum in Children and Duodenum-Preserving Resection of the Pancreatic Head.

Eur J Pediatr Surg 2018 Jun 29;28(3):250-254. Epub 2017 Mar 29.

Department of Internal Medicine, 2nd Faculty of Medicine, Charles University in Prague and Motol University Hospital, Czech Republic.

Introduction:  A retrospective study was performed to evaluate the clinical features, diagnostic methods, and treatment alternatives in children with pancreas divisum (PD).

Materials And Methods:  Patients who underwent treatment for PD between 1999 and 2014 at our department were evaluated for sex, age, presenting symptoms, physical examination findings, biochemical markers, diagnostic methods, treatment modalities, and results of treatment during follow-up.

Results:  Seven patients who underwent treatment of symptomatic PD were included in the study. Read More

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http://dx.doi.org/10.1055/s-0037-1599838DOI Listing
June 2018
12 Reads

Patients with pancreas divisum have an increased risk of developing pancreatico-biliary neoplasms.

Authors:
R Manfredi

Diagn Interv Imaging 2017 Feb;98(2):99-100

University of Rome "A. Gemelli", Largo A. Gemelli 8, 00168 Rome, Italy. Electronic address:

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http://dx.doi.org/10.1016/j.diii.2017.01.007DOI Listing
February 2017
3 Reads

Anatomic variations of the pancreatic duct and their relevance with the Cambridge classification system: MRCP findings of 1158 consecutive patients.

Radiol Oncol 2016 Dec 8;50(4):370-377. Epub 2016 Sep 8.

Department of Surgery, Bozyaka Training and Research Hospital, Izmir, Turkey.

Background: The study was conducted to evaluate the frequencies of the anatomic variations and the gender distributions of these variations of the pancreatic duct and their relevance with the Cambridge classification system as morphological sign of chronic pancreatitis using magnetic resonance cholangiopancreatography (MRCP).

Patients And Methods: We retrospectively reviewed 1312 consecutive patients who referred to our department for MRCP between January 2013 and August 2015. We excluded 154 patients from the study because of less than optimal results due to imaging limitations or a history of surgery on pancreas. Read More

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http://dx.doi.org/10.1515/raon-2016-0041DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5120578PMC
December 2016
24 Reads

Low Alcohol and Cigarette Use Is Associated to the Risk of Developing Chronic Pancreatitis.

Pancreas 2017 02;46(2):225-229

From the *Gastrointestinal Endoscopy Unit, Division of Experimental Oncology, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan; and †Gastroenterology Unit 1, Scientific Institute for Digestive Disease 'S. de Bellis' Hospital, Castellana Grotte, Italy ‡Institute for Digestive Liver Health, University College, London, United Kingdom; §Section of Gastroenterology Boston University School of Medicine Boston Medical Center, Boston, MA; ∥Department of Gastroenterology, Hepatology Infectious Diseases, Otto-von-Guericke University, Magdeburg, Germany; and ¶Department of Clinical Experimental Medicine, School of Medicine, University of Parma, Parma; and #Department of Radiology Center for Experimental Imaging, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy.

Objectives: The aim of this study was to investigate the contribution of smoking and alcohol intake and pancreas divisum on the risk of developing chronic pancreatitis (CP).

Methods: Consecutive patients with CP who underwent secretin-enhanced magnetic resonance cholangiopancreatography were compared with consecutive patients without pancreatic disease who underwent secretin-enhanced magnetic resonance cholangiopancreatography for irritable bowel syndrome.

Results: We enrolled 145 consecutive CP patients and 103 irritable bowel syndrome patients from 2010 to 2014. Read More

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http://dx.doi.org/10.1097/MPA.0000000000000737DOI Listing
February 2017
21 Reads

An impacted minor papilla stone in a patient with pancreas divisum that caused acute exacerbation of chronic pancreatitis: a case report.

Nihon Shokakibyo Gakkai Zasshi 2016 ;113(11):1916-1922

Department of Gastroenterology, Suzuka General Hospital.

A 75-year-old woman with epigastric pain was admitted to our emergency department. She was diagnosed with an acute exacerbation of chronic pancreatitis based on the results of blood tests and abdominal computed tomography (CT). The abdominal CT and magnetic resonance cholangiopancreatography revealed pancreas divisum. Read More

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http://dx.doi.org/10.11405/nisshoshi.113.1916DOI Listing
March 2017
11 Reads

Chorioretinal coloboma in a patient with pancreas divisum: clinical and imaging features.

Eur J Ophthalmol 2016 Nov 4;26(6):e158-e160. Epub 2016 Nov 4.

Department of Ophthalmology, Vita-Salute University, San Raffaele Scientific Institute, Milan - Italy.

Purpose: To report the case of a 61-year-old woman with pancreas divisum and an asymptomatic chorioretinal coloboma in its 2 forms: complete and partial.

Methods: Case report.

Results: Dilated fundus examination and photograph revealed a complete and partial coloboma in the right eye. Read More

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http://dx.doi.org/10.5301/ejo.5000837DOI Listing
November 2016
6 Reads

[Distal pancreatectomy as surgical option in Pancreas divisum associated with Rubinstein-Taybi syndrome].

Cir Pediatr 2015 Apr 15;28(2):84-87. Epub 2015 Apr 15.

Universidad Peruana de Ciencias Aplicadas. Lima, Perú.

Introduction: The Rubinstein-Taybi syndrome and pancreas divisum are uncommon diseases in children. The Rubinstein-Taybi syndrome diagnosis is only clinical, and mental retardation and dysmorphic features mainly characterize it. The PD relates to idiopathic pancreatitis in 7. Read More

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April 2015
13 Reads

Intrahepatic biliary duct branching patterns, cystic duct anomalies, and pancreas divisum in a tertiary referral center: A magnetic resonance cholangiopancreaticographic study.

Indian J Gastroenterol 2016 Sep 23;35(5):379-384. Epub 2016 Sep 23.

Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareli Road, Lucknow, 226 014, India.

Background: Knowledge about anatomic variations in intrahepatic biliary ducts (IHBD) is relevant for performing biliary drainage and for avoiding bile duct injury during cholecystectomy and liver resections. Low insertion of cystic duct (LICD) is a common anatomic variant. Pancreas divisum is the commonest congenital anomaly of pancreas; it has been causally linked with recurrent acute pancreatitis (RAP). Read More

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http://dx.doi.org/10.1007/s12664-016-0693-5DOI Listing
September 2016
22 Reads

The Accuracies of Diagnosing Pancreas Divisum by Magnetic Resonance Cholangiopancreatography and Endoscopic Ultrasound: A Systematic Review and Meta-analysis.

Sci Rep 2016 10 13;6:35389. Epub 2016 Oct 13.

Department of Gastroenterology, The First Affiliated Hospital, College of Medicine, Zhejiang University, 310003 Hangzhou, China.

Magnetic resonance cholangiopancreatography (MRCP), MRCP after secretin stimulation (S-MRCP) and endoscopic ultrasonography (EUS) are all selected to diagnose pancreas divisum. However, the accuracies of three diagnosis remain unclear. The aim is to address the diagnostic accuracies of MRCP, S-MRCP and EUS on pancreas divisum. Read More

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http://dx.doi.org/10.1038/srep35389DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5062127PMC
October 2016
11 Reads

Pancreas divisum: A risk factor for pancreaticobiliary tumors - an analysis of 1628 MR cholangiography examinations.

Diagn Interv Imaging 2017 Feb 5;98(2):141-147. Epub 2016 Sep 5.

Department of Surgery, Bozyaka Training and Research Hospital, Izmir, Turkey.

Purpose: This retrospective study was conducted to evaluate the relationships between pancreas divisum, biliary duct anatomical variations and pancreaticobiliary tumors using magnetic resonance cholangiopancreatography (MRCP).

Materials And Method: The MRCP examinations of 1628 patients were retrospectively reviewed for the presence of pancreas divisum, biliary duct anatomical variations and pancreaticobiliary tumors. Of these, 90 patients (31 men, 59 women) with a mean age of 62. Read More

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http://dx.doi.org/10.1016/j.diii.2016.08.004DOI Listing
February 2017
6 Reads

Prospective Endoscopic Ultrasound-Based Approach to the Evaluation of Idiopathic Pancreatitis: Causes, Response to Therapy, and Long-term Outcome.

Am J Gastroenterol 2016 09 21;111(9):1339-48. Epub 2016 Jun 21.

Division of Gastroenterology and Hepatology, Basil I. Hirschowitz Endoscopic Center of Excellence, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Objectives: Although idiopathic pancreatitis is common, the natural history is not well studied, and the best diagnostic approach to both single and multiple attacks remains undefined.

Methods: We prospectively evaluated patients with idiopathic pancreatitis over a 10-year period, and clinical information for each episode was reviewed. Endoscopic ultrasound (EUS) was performed in all patients. Read More

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http://dx.doi.org/10.1038/ajg.2016.240DOI Listing
September 2016
17 Reads

Ectopic Opening of the Common Bile Duct Accompanied by Choledochocele and Pancreas Divisum.

Intern Med 2016 1;55(9):1097-102. Epub 2016 May 1.

Division of Gastroenterology, Tohoku University Graduate School of Medicine, Japan.

A 32-year-old woman was referred due to abdominal pain and elevated liver enzymes. Computed tomography and magnetic resonance imaging showed ectopic opening of the common bile duct (CBD) into the duodenal bulb. Esophagogastroduodenoscopy showed a hemispheric bulge in the duodenal bulb. Read More

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https://www.jstage.jst.go.jp/article/internalmedicine/55/9/5
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http://dx.doi.org/10.2169/internalmedicine.55.6240DOI Listing
June 2017
11 Reads

Somatostatinoma of the minor duodenal papilla associated with pancreas divisum treated by endoscopic papillectomy.

Endoscopy 2016 14;48 Suppl 1:E135-7. Epub 2016 Apr 14.

Departments of Surgery and Anatomy, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil.

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http://dx.doi.org/10.1055/s-0042-104928DOI Listing
January 2017
13 Reads

Chronic Pancreatitis: Landmark Papers, Management Decisions, and Future.

Pancreas 2016 May-Jun;45(5):641-50

From the *Department of Internal Medicine, Division of Gastroenterology and Hepatology, Mayo Medical School, Mayo Clinic, Rochester, MN; and †Department of Internal Medicine, Division of Gastroenterology and Hepatology, University of Michigan School of Medicine, Ann Arbor, MI.

On May 16, 2015 at the invitation of the American Gastroenterological Association Institute Council E.P.D. Read More

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http://dx.doi.org/10.1097/MPA.0000000000000599DOI Listing
January 2017
11 Reads

Endoscopic management of internally migrated pancreatic duct stents (with video).

Indian J Gastroenterol 2016 Mar 31;35(2):91-100. Epub 2016 Mar 31.

Baldota Institute of Digestive Sciences, 3rd Floor, Global Hospitals, 35, Dr. E. Borges Road, Opp Shirodkar High School, Parel East, Mumbai, 400 012, India.

Background And Aims: Spontaneous intestinal migration of pancreatic stents is a known phenomenon. However, retrieval of a proximally migrated pancreatic stent (PMPS) poses a therapeutic challenge. The primary aim of this study was to evaluate technical success of endoscopic retrograde of cholangiopancreatography (ERCP) for extraction of PMPS, including number of sessions, need of surgery for failures and intervention-induced adverse events. Read More

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http://dx.doi.org/10.1007/s12664-016-0638-zDOI Listing
March 2016
27 Reads

The Role of Endoscopic Retrograde Cholangiopancreatography in Management of Pancreatic Diseases.

Gastroenterol Clin North Am 2016 Mar;45(1):45-65

Division of Gastroenterology, University of Pennsylvania Perelman School of Medicine, 3400 Civic Center Boulevard, Perelman Center for Advanced Medicine South Pavilion, 7th Floor, Philadelphia, PA 19104, USA. Electronic address:

Endoscopic retrograde cholangiopancreatography is an effective platform for a variety of therapies in the management of benign and malignant disease of the pancreas. Over the last 50 years, endotherapy has evolved into the first-line therapy in the majority of acute and chronic inflammatory diseases of the pancreas. As this field advances, it is important that gastroenterologists maintain an adequate knowledge of procedure indication, maintain sufficient procedure volume to handle complex pancreatic endotherapy, and understand alternate approaches to pancreatic diseases including medical management, therapy guided by endoscopic ultrasonography, and surgical options. Read More

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http://dx.doi.org/10.1016/j.gtc.2015.10.009DOI Listing
March 2016
5 Reads

Imaging of pancreas divisum by linear-array endoscopic ultrasonography.

Endosc Ultrasound 2016 Jan-Feb;5(1):21-9

Department of Gastroenterology, Jaswant Rai Speciality Hospital, Meerut, India.

Pancreas divisum (PD) is the most common developmental anatomic variant of pancreatic duct. Endoscopic ultrasound (EUS) is often performed to evaluate idiopathic pancreatitis and has been shown to have high accuracy in diagnosis of PD. The different techniques to identify PD by linear EUS have been described differently by different authors. Read More

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http://dx.doi.org/10.4103/2303-9027.175878DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4770618PMC
February 2016
15 Reads

Endoscopic Intervention through Endoscopic Retrograde Cholangiopancreatography in the Management of Symptomatic Pancreas Divisum: A Long-Term Follow-Up Study.

Gut Liver 2016 May;10(3):476-82

Digestive Endoscopy Center, Department of Gastroenterology, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.

Background/aims: To evaluate the efficacy and safety of endoscopic retrograde cholangiopancreatography (ERCP) for the treatment of symptomatic pancreas divisum (PD) and to discuss whether ERCP procedures and outcomes in younger patients differ from those of adults.

Methods: Symptomatic patients with PD were included in the study and divided into underaged (age ≤17 years) and adult (age ≥18 years) group. The clinical information of each patient was reviewed, and then the patients were contacted by telephone or their medical records were reviewed to determine their long-term followup outcomes. Read More

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http://dx.doi.org/10.5009/gnl15362DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4849703PMC
May 2016
13 Reads

Incidental finding of elongated ventral duct in a case of pancreatic divisum mimicking double pancreatic ducts on magnetic resonance cholangiopancreaticography-a rare normal variant.

Quant Imaging Med Surg 2015 Oct;5(5):787-9

Department of Radiology and Imageology, Nizam's Institute of Medical Sciences, Hyderabad, India.

Anatomic variations and developmental anomalies of the pancreas and pancreatic duct are often noticed as an incidental finding on imaging. However, knowledge of these variants may prove to be crucial during surgery as it may prevent unintentional ductal injury. We report a case of pancreatic divisum with codominant ventral duct mimicking double pancreatic ducts along with the elongated uncinate process of pancreas. Read More

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http://dx.doi.org/10.3978/j.issn.2223-4292.2014.04.11DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4671968PMC
October 2015
6 Reads

Endoscopic retrograde pancreatography: When should we do it?

World J Gastrointest Endosc 2015 Aug;7(11):1023-31

Renáta Bor, Anna Fábián, Zoltán Szepes, First Department of Medicine, University of Szeged, 6720 Szeged, Hungary.

Endoscopic retrograde pancreatography (ERP) is an accurate imaging modality in the diagnosis of pancreatobiliary diseases. However, its use has been substantially reduced due to the invasiveness of procedure, the risk of complications and the widespread availability of non-invasive cross-section imaging techniques (computed tomography, magnetic resonance imaging, and endoscopic ultrasound). Since the introduction of endoscopic sphincterotomy, ERP has transformed from diagnostic method to an almost exclusively therapeutic procedure. Read More

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http://www.wjgnet.com/1948-5190/full/v7/i11/1023.htm
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http://dx.doi.org/10.4253/wjge.v7.i11.1023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4549659PMC
August 2015
22 Reads

Outcome of endotherapy for pancreas divisum in patients with acute recurrent pancreatitis.

World J Gastroenterol 2014 Dec;20(46):17468-75

Alberto Mariani, Milena Di Leo, Maria Chiara Petrone, Paolo Giorgio Arcidiacono, Antonella Giussani, Raffaella Alessia Zuppardo, Giulia Martina Cavestro, Pier Alberto Teston, Gastroenterology and Gastrointestinal Endoscopy Unit, Division of Experimental Oncology, IRCCS San Raffaele Scientific Institute - Vita Salute San Raffaele University, 20132 Milan, Italy.

Aim: To assess the rate of relapses of acute pancreatitis (AP), recurrent AP (RAP) and the evolution of endosonographic signs of chronic pancreatitis (CP) in patients with pancreas divisum (PDiv) and RAP.

Methods: Over a five-year period, patients with PDiv and RAP prospectively enrolled were divided into two groups: (1) those with relapses of AP in the year before enrollment were assigned to have endoscopic therapy (recent RAP group); and (2) those free of recurrences were conservatively managed, unless they relapsed during follow-up (previous RAP group). All patients in both groups entered a follow-up protocol that included clinical and biochemical evaluation, pancreatic endoscopic ultrasonography (EUS) every year and after every recurrence of AP, at the same time as endoscopic retrograde cholangiopancreatography (ERCP). Read More

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http://www.wjgnet.com/1007-9327/pdf/v20/i46/17468.pdf
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http://www.wjgnet.com/1007-9327/full/v20/i46/17468.htm
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http://dx.doi.org/10.3748/wjg.v20.i46.17468DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4265607PMC
December 2014
18 Reads

Biliary cast - complication of cholangitis and pancreatitis in a pancreas divisum patient.

Chirurgia (Bucur) 2014 Sep-Oct;109(5):685-8

We report a rare cause of biliary cast secondary to cholangitis and pancreatitis, in a 60 year old female patient with pancreas divisum. She was admitted in our hospital with an acute pancreatitis (alcoholic etiology was excluded) complicated with pancreatic abscess and obstructive jaundice. The patient had undergone a complex surgical intervention: cholecystectomy,choledocotomy with extraction of the biliary thrombus,external biliary drainage through a T tube, evacuation of the pancreatic abscess, sequestrectomy, peritoneal lavage and multipledrainages. Read More

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January 2015
2 Reads

Intraductal papillary mucinous neoplasia with malignant biliary stricture in pancreas divisum.

Endoscopy 2014 14;46 Suppl 1 UCTN:E431-2. Epub 2014 Oct 14.

Endoscopy, Hospital Israelita Albert Einstein, São Paulo, Brazil.

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1377431
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http://dx.doi.org/10.1055/s-0034-1377431DOI Listing
July 2015
3 Reads

Acute pancreatitis: pancreas divisum with ventral duct intraductal papillary mucinous neoplasms.

BMJ Case Rep 2014 Oct 7;2014. Epub 2014 Oct 7.

Department of Gastroenterology, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA.

Acute recurrent pancreatitis occurs rarely in individuals with pancreas divisum. A 39-year-old woman with no significant history presented with pancreatitis. CT scan and MRI suggested acute on chronic pancreatitis with calcifications and pancreatic divisum. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4187421PMC
http://dx.doi.org/10.1136/bcr-2014-205322DOI Listing
October 2014
10 Reads

Magnetic resonance imaging: a tool to monitor and optimize enzyme distribution during porcine pancreas distention for islet isolation.

Xenotransplantation 2014 Sep-Oct;21(5):473-9. Epub 2014 Jul 2.

Department of Surgery, University of Minnesota, Minneapolis, MN, USA; Department of Surgery, University of Arizona, Tucson, AZ, USA.

Porcine islet xenotransplantation is emerging as a potential alternative for allogeneic clinical islet transplantation. Optimization of porcine islet isolation in terms of yield and quality is critical for the success and cost-effectiveness of this approach. Incomplete pancreas distention and inhomogeneous enzyme distribution have been identified as key factors for limiting viable islet yield per porcine pancreas. Read More

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http://dx.doi.org/10.1111/xen.12108DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4174958PMC
June 2015
12 Reads

The utility of secretin-enhanced MRCP in diagnosing congenital anomalies.

Abdom Imaging 2014 Oct;39(5):979-87

Department of Radiology, 550 N University Blvd, UH 0279, Indianapolis, IN, 46202, USA,

Purpose: To assess the additional value of secretin-enhanced MRCP (SMRCP) over conventional MRCP in diagnosing divisum.

Methods: Retrospective HIPAA-compliant and IRB-approved review found 140 patients with SMRCP and ERCP correlation within 6 months of each other. All studies were anonymized and the SMRCP images (SMRCP image set) were separated from 2D and 3D MRCP and axial and coronal T2-weighted images (conventional MRI image set). Read More

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http://link.springer.com/content/pdf/10.1007%2Fs00261-014-01
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http://link.springer.com/10.1007/s00261-014-0131-z
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http://dx.doi.org/10.1007/s00261-014-0131-zDOI Listing
October 2014
3 Reads

Magnetic resonance cholangiopancreatography in the diagnosis of pancreas divisum: a systematic review and meta-analysis.

Pancreas 2014 Aug;43(6):823-8

From the *Section of Digestive Diseases, Department of Internal Medicine, Yale University School of Medicine, New Haven; and †Department of Internal Medicine, University of Connecticut Health Center, Farmington, CT.

Objective: This study aimed to perform a structured meta-analysis of all eligible studies to assess the overall diagnostic use of magnetic resonance cholangiopancreatography (MRCP) alone or with secretin enhancement (secretin-enhanced MRCP [S-MRCP]) in the detection of pancreas divisum.

Methods: Two authors independently performed a comprehensive search of PubMed, MEDLINE, and the Cochrane Library from inception to September 2013. Studies were included if they allowed construction of 2 × 2 contingency tables of MRCP and/or S-MRCP compared with criterion standard. Read More

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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/MPA.0000000000000143DOI Listing
August 2014
2 Reads

Endoscopic ultrasound and pancreas divisum.

Pancreas 2014 Jan;43(1):141-53

Department of Gastroenterology Postgraduate Institute of Medical Education and Research Chandigarh, India

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http://dx.doi.org/10.1097/MPA.0b013e3182a85988DOI Listing
January 2014
3 Reads

Congenital variants and anomalies of the pancreas and pancreatic duct: imaging by magnetic resonance cholangiopancreaticography and multidetector computed tomography.

Korean J Radiol 2013 Nov-Dec;14(6):905-13. Epub 2013 Nov 5.

Department of Radiology, Türkiye Yüksek İhtisas Hospital, Kızılay street, No:4, 06100, Sıhhiye, Ankara, Turkey.

Though congenital anomalies of the pancreas and pancreatic duct are relatively uncommon and they are often discovered as an incidental finding in asymptomatic patients, some of these anomalies may lead to various clinical symptoms such as recurrent abdominal pain, nausea and vomiting. Recognition of these anomalies is important because these anomalies may be a surgically correctable cause of recurrent pancreatitis or the cause of gastric outlet obstruction. An awareness of these anomalies may help in surgical planning and prevent inadvertent ductal injury. Read More

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http://dx.doi.org/10.3348/kjr.2013.14.6.905DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3835637PMC
July 2014
58 Reads

Secretin-enhanced MR cholangiopancreatography: spectrum of findings.

Radiographics 2013 Nov-Dec;33(7):1889-906

From the Department of Radiology and Clinical Sciences (T.T., K.S., F.A.), Division of Gastroenterology (S.S., G.A.C.), and Department of Surgery (C.M.S.), Indiana University School of Medicine, 550 N University Blvd, UH0663, Indianapolis, IN 46202; and the Department of Radiology, University of Alabama at Birmingham, Birmingham, Ala (R.S.).

Magnetic resonance cholangiopancreatography (MRCP) is the most effective, safe, noninvasive magnetic resonance (MR) imaging technique for the evaluation of the pancreaticobiliary ductal system. The MRCP imaging technique has substantially improved during the past 2 decades and is based mainly on the acquisition of heavily T2-weighted MR images, with variants of fast spin-echo sequences. MRCP can also be performed by utilizing the hormone secretin, which stimulates a normal pancreas to secrete a significant amount of fluid while transiently increasing the tone of the sphincter of Oddi. Read More

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http://dx.doi.org/10.1148/rg.337125014DOI Listing
June 2014
4 Reads

Acute non-traumatic pancreatitis in a patient with pancreas divisum: a case report.

J Med Life 2013 Sep 25;6(3):332-5. Epub 2013 Sep 25.

Primary Health Care Centre of Kissamos, Chania, Crete, Greece.

Pancreas divisum is a frequent congenital anatomical anomaly characterized by the failure of fusion of the ducts of Santorini and Wirsung during fetal development. Although the condition usually remains asymptomatic, it has been reported to be a predisposing factor of chronic and recurrent idiopathic pancreatitis. We report a case of acute non-traumatic pancreatitis in a 54-year-old Caucasian male with pancreas divisum. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3786496PMC
September 2013
2 Reads

Role of endoscopic ultrasonography in the diagnosis of acute and chronic pancreatitis.

Authors:
Tyler Stevens

Gastrointest Endosc Clin N Am 2013 Oct 10;23(4):735-47. Epub 2013 Jul 10.

Department of Gastroenterology and Hepatology, Cleveland Clinic, 9500 Euclid Avenue, A31, Cleveland, OH 44195, USA. Electronic address:

Endoscopic ultrasonography (EUS) can be a useful tool for detecting underlying causes of acute pancreatitis and establishing the severity of fibrosis in chronic pancreatitis. Ancillary techniques include fine needle aspiration and core biopsy, bile collection for crystal analysis, pancreatic function testing, and celiac plexus block. This review focuses on the role of EUS in the diagnosis of acute and chronic pancreatitis. Read More

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http://dx.doi.org/10.1016/j.giec.2013.06.001DOI Listing
October 2013
1 Read

ERCP in the management of pancreatic diseases in children.

Gastrointest Endosc 2014 Feb 21;79(2):271-8. Epub 2013 Sep 21.

Asian Institute of Gastroenterology, Hyderabad, India.

Background: ERCP experience in pancreatic disorders in children is limited.

Objective: This study evaluated the utility and efficacy of ERCP in children with pancreatic diseases at a tertiary care referral center.

Patients And Settings: Consecutive patients 18 years of age and younger who underwent ERCP for pancreatic diseases from January 2010 to June 2011 were identified. Read More

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http://dx.doi.org/10.1016/j.gie.2013.07.060DOI Listing
February 2014
4 Reads

Pancreatitis in patients with pancreas divisum: imaging features at MRI and MRCP.

World J Gastroenterol 2013 Aug;19(30):4907-16

Department of Radiology, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China.

Aim: To determine the magnetic resonance cholangiopancreatography (MRCP) and magnetic resonance imaging (MRI) features of pancreatitis with pancreas divisum (PD) and the differences vs pancreatitis without divisum.

Methods: Institutional review board approval was obtained and the informed consent requirement was waived for this HIPAA-compliant study. During one year period, 1439 consecutive patients underwent successful MRCP without injection of secretin and abdominal MRI studies for a variety of clinical indications using a 1. Read More

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http://dx.doi.org/10.3748/wjg.v19.i30.4907DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3740420PMC
August 2013
28 Reads

[Analysis of clinical application of endoscopic retrograde cholangiopancreatography for the pancreatic diseases in children].

Zhonghua Er Ke Za Zhi 2013 May;51(5):367-70

Department of Digestive Diseases, the First Hospital of Hangzhou, Hangzhou 310006, China.

Objective: To study the feasibility and risk of endoscopic retrograde cholangiopancreatography (ERCP) for children in clinic, and to evaluate the effects of ERCP in diagnosis and treatment of the pancreatic diseases in children.

Method: Totally 98 patients under 14 years of age who underwent ERCP from 1994 to 2011 were enrolled in the study. The data of diagnosis, anesthesia type, treatments, and postoperative complications were collected. Read More

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May 2013
1 Read

Pancreas divisum: analysis and therapeutic alternatives with a case report.

Vojnosanit Pregl 2013 Jun;70(6):615-9

Clinic of Pediatric Surgery, Institute for Child and Youth Health Care of Vojvodina, Clinical Center Vojvodina, Novi Sad, Serbia.

Introduction: Pancreas divisum is a relatively common pancreatic duct anatomic variant, firstly described in the 17th century.

Case Report: We reported a 2-year-old child admitted to the Pediatric Clinic with breathing difficulties and abdominal pains. Examination and X-ray image, showed a vast right hydrothorax containing rusty coloured solution with a high degree of amylase. Read More

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June 2013
4 Reads

Endoscopic approach to the diagnosis and treatment of pancreatic disease.

Authors:
William R Brugge

Curr Opin Gastroenterol 2013 Sep;29(5):559-65

Massachusetts General Hospital, GI Unit, Boston, MA 02114, USA.

Purpose Of Review: The purpose of this review is to examine the recent developments in the use of endoscopic retrograde cholangio-pancreatography (ERCP) and endoscopic ultrasound (EUS) in the management of patients with pancreatic-biliary disease.

Recent Findings: The use of ERCP to guide selective placement of pancreatic sphincterotomes, stone extraction balloons, and stents enables clinicians to treat pancreatic sphincteric and ductal disorders. Pancreatic stones are a remediable cause of recurrent pancreatitis and small calculi can be easily removed. Read More

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http://pdfs.journals.lww.com/co-gastroenterology/2014/09000/
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http://dx.doi.org/10.1097/MOG.0b013e3283639342DOI Listing
September 2013
5 Reads

Complete pancreas divisum with patulous minor papilla complicated by multifocal branch-duct intraductal papillary mucinous neoplasms.

Endoscopy 2013 5;45 Suppl 2 UCTN:E199-200. Epub 2013 Jul 5.

Department of Gastroenterology, Faculty of Medicine, Oita University, Yufu, Japan.

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http://dx.doi.org/10.1055/s-0033-1344160DOI Listing
February 2014
3 Reads