943 results match your criteria Pancreatic Divisum


EUS-guided pancreatic rendezvous for management of pancreaticopleural fistula with an undilated duct and pancreas divisum.

Endosc Ultrasound 2022 May 2. Epub 2022 May 2.

Department of Gastroenterology, Seth GS Medical College and King Edward Memorial Hospital, Mumbai, Maharashtra, India.

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Long-Term Outcomes of Endoscopic Intervention in the Treatment of Symptomatic Pancreas Divisum.

J Healthc Eng 2022 16;2022:8508943. Epub 2022 Apr 16.

Department of Gastroenterology and Hepatology, The First Medical Center of PLA General Hospital, Beijing 100853, China.

To evaluate the efficacy and safety of endoscopic retrograde cholangiopancreatography (ERCP) in the treatment of patients with symptomatic pancreas divisum (PD) and to discuss the possible risk factors of endoscopic reintervention for symptomatic PD. A total of 50 patients with symptomatic PD who underwent ERCP from January 2010 to December 2019 were finally brought into study. All patients were divided into the nonage and the adult group according to their ages. Read More

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Imaging of the Pancreas (IMAP) in New-Onset Diabetes (NOD): A Prospective Pilot Study.

Clin Transl Gastroenterol 2022 Mar 25. Epub 2022 Mar 25.

Department of Radiology, Kaiser Permanente Los Angeles Medical Center, Los Angeles CA.

Background: The aim of this study was to assess the feasibility of cross-sectional imaging for detection of pancreatic cancer in patients with NOD.

Methods: We conducted a prospective pilot study from 11/2018-3/2020 within an integrated health system. Patients 50-85 years with newly elevated glycemic parameters without prior history of diabetes were invited to complete a three-phase contrast-enhanced computed tomography pancreas-protocol scan while participating in the Prospective Study to Establish a New-Onset Hyperglycemia and Diabetes (NOD) Cohort. Read More

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Efficacy of endoscopic retrograde cholangiopancreatography in familial adenomatous polyposis patients after duodenectomy.

DEN open 2022 Apr 6;2(1):e85. Epub 2022 Jan 6.

Department of Gastroenterology, Hepatology, and Nutrition Cleveland Clinic Cleveland USA.

Objectives: Familial adenomatous polyposis (FAP) patients with Spigelman stage IV polyposis should be considered for prophylactic duodenectomy. Post-surgical pancreaticobiliary complications occur and may require management via endoscopic retrograde cholangiopancreatography (ERCP). We aimed to assess the success and adverse events of ERCP in FAP patients after pancreas-sparing duodenectomy (PSD) and pancreaticoduodenectomy (PD). Read More

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Diagnostic ability of pancreatic juice cytology via the minor papilla in patients with pancreas divisum.

DEN open 2022 Apr 28;2(1):e62. Epub 2021 Sep 28.

Department of Gastroenterology Shizuoka General Hospital Shizuoka Japan.

Background And Study Aim: Endoscopic retrograde cholangiopancreatography (ERCP) is generally performed via the major papilla when evaluating patients with pancreatic disease. However, in patients with pancreas divisum (PD) or distortion of the main pancreatic duct, endoscopic retrograde pancreatography (ERP) should be performed via the minor papilla (MP). Our aim was to evaluate the efficacy and safety of endoscopic pancreatic juice cytology (PJC), performed via the MP, in patients with PD. Read More

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Pancreaticobiliary maljunction and pancreas divisum accompanied with intestinal malrotation: a case report.

BMC Pediatr 2022 02 28;22(1):110. Epub 2022 Feb 28.

Department of General Surgery, Beijing Children's Hospital, National Center for Children's Health, Capital Medical University, No. 56 Nalishi Road, Xicheng District, CN, 100045, Beijing, China.

Background: Pancreaticobiliary maljunction is a congenital anatomical abnorma l junction of the pancreatic duct and bile duct into a common channel outside the duodenal wall. Pancreas divisum is also a congenital anatomical abnormality characterized by unfused pancreatic ducts. Intestinal malrotation is caused by the failure of bowel rotation and fixation. Read More

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February 2022

An Uncommon Case of Intraluminal Duodenal Diverticulum Complicated by Recurrent Gastrointestinal Bleeding and Small Bowel Obstruction.

Cureus 2022 Jan 18;14(1):e21391. Epub 2022 Jan 18.

Gastroenterology, Hepatology & Nutrition, Cleveland Clinic Main Campus, Cleveland, USA.

Intraluminal duodenal diverticulum (IDD) is a rare congenital anomaly resulting from the failure of the duodenum to recanalize during embryogenesis leaving a duodenal diaphragm or web within the lumen of the duodenum. In theory, the peristaltic force gradually stretches the tissue over time forming a diverticulum within the duodenal lumen. Identification of IDD by endoscopy or diagnostic imaging can be difficult, these lesions can be mistaken for other lesions or the collapsed diverticulum can be overlooked. Read More

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January 2022

Endoscopic diagnosis of santoriniceles with reverse pancreas divisum.

Gastrointest Endosc 2022 05 31;95(5):1015-1016. Epub 2022 Jan 31.

Department of Gastroenterology, Shanghai Key Laboratory of Pancreatic Disease, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China; Shanghai Key Laboratory of Pancreatic Disease, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.

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Magnetic Resonance Cholangiopancreatography vs Endoscopy Retrograde Cholangiopancreatography for Detection of Anatomic Variants of the Pancreatic Duct in Children.

J Pediatr 2022 05 19;244:120-124. Epub 2022 Jan 19.

Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH; Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; Department of Radiology, University of Cincinnati College of Medicine, Cincinnati, OH.

Objective: To compare the efficacy of magnetic resonance cholangiopancreatography (MRCP) with endoscopy retrograde cholangiopancreatography (ERCP) in children for the identification of pancreatic duct variants.

Study Design: We identified children with a pancreatic duct variant by ERCP and separately queried our MRCP database for similar variants. Patients with a paired ERCP-MRCP were reviewed. Read More

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Pancreas Divisum as a Rare Etiology of Recurrent Pancreatitis: A Rare Case Ever Documented and Reported In Indonesia.

Acta Med Indones 2021 Oct;53(4):465-468

Division of Gastroenterohepatology Department of Internal Medicine Faculty of Medicine - University of Padjadjaran Hasan Sadikin General Hospital Bandung - Indonesia.

Pancreas divisum is an abnormal condition of pancreas duct that occurs from organogenesis. This abnormal condition defined as a failure in fusion between dorsal and ventral part of the pancreas. The incidence reported 4%-14% in general population. Read More

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October 2021

Double plastic stent implantation for recurrent acute pancreatitis with incomplete pancreas divisum: a case report and literature review.

J Int Med Res 2021 Nov;49(11):3000605211060142

Department of Gastroenterology, Hebei Key Laboratory of Gastroenterology, Hebei Institute of Gastroenterology, 71213Second Hospital of Hebei Medical University, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei Province, China.

Pancreas divisum (PD) is a common pancreatic malformation caused by the failure of fusion between ventral and dorsal pancreatic ducts. There is a small branch of communication between the two systems in incomplete PD, and this variation has an incidence of 15%. A 43-year-old female patient presented to our department with recurrent abdominal pain. Read More

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November 2021

Analysis of the Efficacy and Safety of Endoscopic Retrograde Cholangiopancreatography in Children With Symptomatic Pancreas Divisum.

Front Pediatr 2021 2;9:761331. Epub 2021 Nov 2.

Department of Gastroenterology, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Endoscopic retrograde cholangiopancreatography (ERCP) has been increasingly performed in children with symptomatic pancreas divisum (PD). To investigate the safety and efficacy of ERCP in the treatment of children with symptomatic PD. We performed a retrospective analysis on children with PD who were treated with ERCP at Shanghai Children's Medical Center between June 2015 and May 2020. Read More

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November 2021

Fully laparoscopic pancreaticojejunostomy, Puestow procedure (with video).

J Surg Case Rep 2021 Sep 22;2021(9):rjab397. Epub 2021 Sep 22.

Department of Hepatobiliary Surgery, Clínica Las Condes, Estoril 450, Las Condes, Santiago, Chile.

Chronic pancreatitis usually requires medical treatment and, in rare cases, surgical intervention. The most frequent cause of consultation is chronic pain that is difficult to manage, and therapeutic options such as endoscopy can resolve most problems without surgery. However, when these options fail, surgical management is necessary. Read More

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September 2021

Impact of genetic testing and smoking on the distribution of risk factors in patients with recurrent acute and chronic pancreatitis.

Scand J Gastroenterol 2022 Jan 18;57(1):91-98. Epub 2021 Oct 18.

Pancreatitis Center, Johns Hopkins Medical Institutions, Baltimore, MD, USA.

Objective: The aim of the present study is to assess the impact of smoking dose and duration on the distribution of risk factor(s) in patients with RAP and CP, and the impact of genetic testing on the distribution of risk factor(s) in patients with idiopathic RAP and CP.

Methods: All adult patients with RAP and CP referred to a multidisciplinary pancreatitis clinic between 2010 and 2017 were evaluated. Risk factors included alcohol and smoking, hypertriglyceridemia, biliary, and other etiologies. Read More

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January 2022

Pancreatic ductal adenocarcinoma in a patient with pancreas divisum and gastrointestinal duplication cyst: a case report.

Surg Case Rep 2021 Aug 25;7(1):193. Epub 2021 Aug 25.

Department of Surgery, Iwate Medical University, 2-1-1 Idaidori, Yahaba, 028-3695, Japan.

Background: The complication of duplication of alimentary tracts and pancreas divisum (PD) is a rare malformation and the development of pancreatic ductal adenocarcinoma (PDAC) in this malformation is also extremely rare. There have been some reports of complication of malignancy in a gastric duplication cyst (GDC) and PD. However, there have been no reports of complication of PDAC in cases with GDC and PD. Read More

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Value of Magnetic Resonance Cholangiopancreatography in Santorinicele and Wirsungocele.

Curr Med Imaging 2021 ;17(12):1451-1459

Medical Imaging Center, Shenzhen Hospital of Southern Medical University, Shenzhen, 518100, China.

Background: Former studies showed that magnetic resonance cholangiopancreatography (MRCP) is useful in diagnosing the presence of santorinicele; however, few studies have evaluated MRCP in diagnosing wirsungocele and the association between pancreatitis and santorinicele or wirsungocele. The purpose of the study was to explore the performance of MRCP in diagnosing santorinicele and wirsungocele and investigate the potential association among pancreatitis, pancreas divisum, and santorinicele or wirsungocele.

Methods: Sixty-five patients (mean age, 55. Read More

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January 2022

Clinical outcome of endoscopic therapy in patients with symptomatic pancreas divisum: a Dutch cohort study.

Endosc Int Open 2021 Jul 21;9(7):E1164-E1170. Epub 2021 Jun 21.

Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, the Netherlands.

Although the majority of patients with pancreas divisum (PDiv) are asymptomatic, a subgroup present with recurrent pancreatitis or pain for which endoscopic therapy may be indicated. The aim of this study was to evaluate success rates and long-term outcomes of endoscopic treatment in patients with symptomatic PDiv. A multicenter, retrospective cohort study was performed. Read More

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Current advances in the management of chronic pancreatitis.

Dis Mon 2021 Dec 24;67(12):101225. Epub 2021 Jun 24.

Department of Gastroenterology and Advanced endoscopy, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA. Electronic address:

Chronic pancreatitis is characterized by irreversible destruction of pancreatic parenchyma and its ductal system resulting from longstanding inflammation, leading to fibrosis and scarring due to genetic, environmental, and other risk factors. The diagnosis of chronic pancreatitis is made based on a combination of clinical features and characteristic findings on computed tomography or magnetic resonance imaging. Abdominal pain is the most common symptom of chronic pancreatitis. Read More

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December 2021

Pancreatic pseudocyst, pancreatitis, and incomplete pancreas divisum in a child treated with endotherapy: a case report.

J Int Med Res 2021 May;49(5):3000605211014395

Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hospital of Qinghai University, Xining, China.

Pancreatic divisum (PD) is caused by the lack of fusion of the pancreatic duct during the embryonic period. Considering the incidence rate of PD, clinicians lack an understanding of the disease, which is usually asymptomatic. Some patients with PD may experience recurrent pancreatitis and progress to chronic pancreatitis. Read More

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Proximal Migration of Pancreatic Duct Stent in Pancreas Divisum: Challenges in Retrieval and Review of the Literature.

Case Rep Gastrointest Med 2021 20;2021:5531658. Epub 2021 Apr 20.

Guthrie Robert Packer Hospital, Sayre, PA 18840, USA.

Pancreas divisum is the most common congenital malformation of the pancreas. Sometimes it is considered an etiology when patients present with recurrent episodes of pancreatitis. Endoscopic retrograde pancreatography (ERP) with selective cannulation of the minor papilla with sphincterotomy and stent placement are performed in these patients. Read More

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[Pancreas divisum and pancreatitis].

Radiologe 2021 Jun 3;61(6):541-547. Epub 2021 May 3.

Klinik für Diagnostische & Interventionelle Radiologie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 420, 69120, Heidelberg, Deutschland.

Clinical/methodological Issue: Diagnostic and clinical relevance of pancreas divisum.

Standard Radiological Methods: Ultrasonography (US), magnetic resonance cholangiopancreatography (MRCP), magnetic resonance imaging (MRI), computed tomography (CT), endoscopic retrograde cholangiopancreatography (ERCP).

Performance: Pancreas divisum is an anatomic variation of pancreatic duct system with an incidence in general population of about 10%. Read More

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Hereditary pancreatitis in childhood: course of disease and complications.

Wien Klin Wochenschr 2021 Jul 28;133(13-14):669-673. Epub 2021 Apr 28.

Internal Department of Gastroenterology and Hepatology, Metabolic and Nutritional Medicine, Endocrinology, Ordensklinikum Linz-Hospital of the Sisters of Charity, Seilerstätte 4, 4010, Linz, Austria.

Background: Hereditary pancreatitis is rare. Pain therapy for juvenile symptom onset, child development and the risk of pancreatic carcinoma in adulthood must be considered.

Patients, Material And Methods: Data from a cohort of 11 patients with disease onset in childhood (< 16 years) were analyzed retrospectively. Read More

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Pancreaticobiliary maljunction in Turkish patients: a multicenter case series.

Surg Endosc 2022 03 12;36(3):2042-2051. Epub 2021 Apr 12.

Department of Gastroenterology, Turkiye Yuksek Ihtisas Hospital, Ankara, Turkey.

Background And Aims: Pancreaticobiliary maljunction (PBM) is a malformation in which the pancreatic and bile ducts join outside the duodenal wall. It is associated with various biliary and pancreatic diseases. In addition, patients with PBM carry a substantial lifetime risk of developing biliary or gallbladder carcinoma. Read More

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Treatment of chronic pancreatitis by laparoscopic DuVal procedure: report of a pediatric case.

Cir Cir 2021 ;89(2):258-262

Departamento de Cirugía Pediátrica, Hospital Infantil Privado, Curso de Alta Especialidad Postgrado, Universidad Autónoma de México, Ciudad de México, México.

Antecedentes: La pancreatitis es una enfermedad rara. La obstrucción es común y se puede corregir con endoscopia; si fracasa, necesitará cirugía.

Caso ClÍnico: Reportamos un paciente con pancreatitis secundaria a páncreas divisum. Read More

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September 2021

Reappraisal of factors impacting the cannulation rate and clinical efficacy of endoscopic minor papilla sphincterotomy.

Pancreatology 2021 Jun 2;21(4):805-811. Epub 2021 Feb 2.

Department of Medicine, Gastroenterology and Digestive Endoscopy Unit, The Pancreas Institute, G.B. Rossi University Hospital, Verona, Italy.

Background: We aimed to assess factors impacting the endoscopic minor papilla sphincterotomy (EMPS) success rate, clinical efficacy, and safety in a large cohort of patients with symptomatic pancreas divisum (PD).

Methods: Retrospective study including patients with PD referred to the Pancreas Institute of Verona from May 2009 to May 2020 to undergo EMPS. The whole population was analyzed to assess EMPS technical success, defined as the rate of deep cannulation of the dorsal duct. Read More

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Direct visualization of anomalous pancreaticobiliary ductal union and pancreas divisum (with video).

Authors:
Chi Hyuk Oh

Eur J Gastroenterol Hepatol 2021 04;33(4):596-598

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kyung Hee University Hospital, Seoul, Republic of Korea.

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Idiopathic acute pancreatitis-A myth or reality? Role of endoscopic ultrasonography and magnetic resonance cholangiopancreatography in its diagnosis.

Indian J Gastroenterol 2021 02 6;40(1):22-29. Epub 2021 Feb 6.

Department of Gastroenterology, Sir Sunderlal Hospital, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221 005, India.

Background: Around 10% to 30% patients with acute pancreatitis (AP) do not have a cause after the routine investigations, and are considered as having idiopathic acute pancreatitis (IAP). Establishing the etiology in such patients will prevent recurrences and evolution to chronic pancreatitis. Endoscopic ultrasonography (EUS) and magnetic resonance cholangiopancreatography (MRCP) characteristically are used to diagnose IAP when routine methods fail, but their exact role is not determined. Read More

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February 2021

Laser lithotripsy and removal of calculi from minor pancreatic duct in pancreas divisum.

VideoGIE 2021 Jan 13;6(1):30-31. Epub 2020 Oct 13.

Midas Institute of Gastroenterology, Midas Multispecialty Hospital, Nagpur, Maharashtra, India.

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January 2021