860 results match your criteria Pancreatic Divisum


Intraductal papillary mucinous neoplasm of the main duct in a patient with pancreas divisum.

Rev Esp Enferm Dig 2019 Feb 11;111. Epub 2019 Feb 11.

Cirugía General, Complejo Hospitalario de Navarra.

Pancreas divisum is a congenital anomaly present in 5-10% of the population and is usually asymptomatic. Pancreatic intraductal papillary mucinous neoplasms (IPMN) are mucinous cystic tumors that have malignant potential and are classified according to their location as IPMN of the main duct, branch duct or mixed type. Larger lesions and those originating in the main duct have an increased risk of malignancy. Read More

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http://dx.doi.org/10.17235/reed.2019.5959/2018DOI Listing
February 2019
1 Read

Anterograde Endoscopic Ultrasound-Guided Pancreatic Duct Drainage: A Technical Review.

Dig Dis Sci 2019 Feb 7. Epub 2019 Feb 7.

Section of Digestive Diseases, West Virginia University Medicine, PO Box 9161, One Medical Center Drive, Morgantown, WV, 26506-9161, USA.

The advancement of pancreatic endotherapy has increased the availability of minimally invasive endoscopic pancreatic ductal drainage techniques. In this regard, familiarity with endoscopic ultrasound-guided pancreatic duct drainage (EUS-PDD) is critical for treatment of obstructed pancreatic ductal systems, especially in nonsurgical candidates and in patients desiring a minimally invasive approach. Two distinct forms of EUS-PDD exist, viz. Read More

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http://dx.doi.org/10.1007/s10620-019-05495-9DOI Listing
February 2019
1 Read

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

Pancreas divisum: a reemerging risk factor for pancreatic diseases.

Authors:
Serghei Covantev

Rom J Intern Med 2018 Dec;56(4):233-242

Laboratory of Allergology and Clinical Immunology, "Nicolae Testemitanu" State University of Medicine and Pharmacy, Chisinau, Republic of Moldova.

Pancreas divisum (PD) is the most common developmental anatomic variant of pancreatic duct. The attention towards the PD has grown significantly since there are reports that this condition may cause acute relapsing pancreatitis, chronic pancreatitis and chronic abdominal pain syndrome. Furthermore, over the years, there have been multiple reports of PD associated with different types of tumors. Read More

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https://content.sciendo.com/view/journals/rjim/56/4/article-
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http://dx.doi.org/10.2478/rjim-2018-0022DOI Listing
December 2018
15 Reads

Use of combined methylene blue chromoendoscopy and intravenous secretin for endoscopic therapy in pancreas divisum.

VideoGIE 2018 Dec 2;3(12):397-398. Epub 2018 Oct 2.

Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan, USA.

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http://dx.doi.org/10.1016/j.vgie.2018.08.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6251701PMC
December 2018
2 Reads

Indications and outcomes of duodenum-preserving resection of the pancreatic head in children.

Pediatr Surg Int 2018 Nov 1. Epub 2018 Nov 1.

Department of Surgery, University Hospital Kralovske Vinohrady, Prague, Czech Republic.

Aim Of Study: Duodenum-preserving resection of the pancreatic head (DPRPH) with Roux-en-Y pancreatojejunostomy is a procedure used to remove focal pathological lesions of the pancreatic head. Although predominantly used in adult patients, it is both safe and effective in children. The aim of this study was to review our experience with this procedure, with focus on its indications, complications and long-term outcomes. Read More

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http://link.springer.com/10.1007/s00383-018-4410-6
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http://dx.doi.org/10.1007/s00383-018-4410-6DOI Listing
November 2018
10 Reads

Gene Therapy for Pancreatic Diseases: Current Status.

Int J Mol Sci 2018 Oct 31;19(11). Epub 2018 Oct 31.

Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Sciences, Niigata University, 1-757, Aasahimachi-Dori, Chuo-Ku, Niigata 951-8510, Japan.

The pancreas is a key organ involved in digestion and endocrine functions in the body. The major diseases of the pancreas include pancreatitis, pancreatic cancer, cystic diseases, pancreatic divisum, islet cell tumors, endocrine tumors, diabetes mellitus, and pancreatic pain induced by these diseases. While various therapeutic methodologies have been established to date, however, the improvement of conventional treatments and establishment of novel therapies are essential to improve the efficacy. Read More

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http://www.mdpi.com/1422-0067/19/11/3415
Publisher Site
http://dx.doi.org/10.3390/ijms19113415DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6275054PMC
October 2018
7 Reads

In-hospital and 90-day outcomes after total pancreatectomy with islet autotransplantation for pediatric chronic and acute recurrent pancreatitis.

Am J Transplant 2018 Oct 29. Epub 2018 Oct 29.

Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.

Total pancreatectomy with islet autotransplantation (TPIAT) is used to treat debilitating chronic pancreatitis (CP) and acute recurrent pancreatitis (ARP) that has failed medical and endoscopic therapy. We performed a retrospective review of TPIAT patients at a free-standing children's hospital to evaluate perioperative outcomes. Twenty patients (median age 13, 65% female) underwent TPIAT (2015 through 2017). Read More

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http://doi.wiley.com/10.1111/ajt.15150
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http://dx.doi.org/10.1111/ajt.15150DOI Listing
October 2018
6 Reads

The Role of Endotherapy in Recurrent Acute Pancreatitis.

Gastrointest Endosc Clin N Am 2018 Oct 1;28(4):455-476. Epub 2018 Aug 1.

Columbia University Medical Center, 161 Fort Washington Avenue, Suite 852, New York, NY 10032, USA. Electronic address:

Patients with recurrent acute pancreatitis (RAP) have few treatment options available to them to manage their symptoms or prevent progression to chronic pancreatitis. At present, endotherapy is typically pursued as a means to achieve symptom remission and reduce rates of recurrence, hospitalization, abdominal pain, narcotic use, and surgical intervention. However, evidence that endotherapy effectively alters the natural history of disease remains limited. Read More

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http://dx.doi.org/10.1016/j.giec.2018.05.001DOI Listing
October 2018
9 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

Recurrent Acute Pancreatitis: Current Concepts in the Diagnosis and Management.

Curr Treat Options Gastroenterol 2018 Dec;16(4):449-465

Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India.

Purpose Of Review: There have been significant developments in the diagnosis, clinical approach, and management of patients with recurrent acute pancreatitis (RAP) in the last decade. This review systematically summarizes our current understanding of RAP.

New Findings: Gallstones and alcohol are common causes of RAP. Read More

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http://link.springer.com/10.1007/s11938-018-0196-9
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http://dx.doi.org/10.1007/s11938-018-0196-9DOI Listing
December 2018
12 Reads

Pancreatoscopy-guided laser dissection and ablation for treatment of benign and neoplastic pancreatic disorders: an initial report (with videos).

Gastrointest Endosc 2019 02 31;89(2):384-389. Epub 2018 Aug 31.

University of Colorado Anschutz Medical Campus, Department of Medicine, Division of Gastroenterology and Hepatology, Aurora, Colorado.

Background And Aims: Per-oral pancreatoscopy (POP) permits direct evaluation of the pancreatic duct for the visualization and sampling of neoplastic lesions and treatment of pancreatic duct stones by using intraductal lithotripsy techniques. Pancreatic laser endotherapy of mucosa has been described in animal models for tumor ablation, but human experience is lacking. We describe 3 unique and challenging clinical situations that benefited from pancreatic laser dissection and ablation. Read More

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http://dx.doi.org/10.1016/j.gie.2018.08.045DOI Listing
February 2019
9 Reads

Dilation of the dorsal pancreatic duct in an asymptomatic patient with pancreas divisum.

Dig Liver Dis 2019 Jan 8;51(1):169. Epub 2018 Aug 8.

Gastroenterology Department, Hospital de Braga, Braga, Portugal. Electronic address:

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http://www.dldjournalonline.com/article/S1590865818308740/pd
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https://linkinghub.elsevier.com/retrieve/pii/S15908658183087
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http://dx.doi.org/10.1016/j.dld.2018.07.037DOI Listing
January 2019
10 Reads

Fully covered self-expandable metal stents to dilate persistent pancreatic strictures in chronic pancreatitis: long-term follow-up from a prospective study.

Gastrointest Endosc 2018 12 22;88(6):939-946. Epub 2018 Aug 22.

Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli - IRCCS, Catholic University, Rome, Italy; CERTT, Centre for Endoscopic Research, Therapeutics and Training - Catholic University, Rome, Italy; Digestive Endoscopy, IHU-USIAS, University of Strasbourg, Strasbourg, France.

Background And Aims: Symptomatic main pancreatic duct (MPD) strictures secondary to chronic pancreatitis (CP) may benefit from endoscopic insertion of single or multiple plastic stents. MPD stricture resolution after single plastic stent removal is uncommon. The use of removable fully covered, self-expandable metal stents (FC-SEMSs) to dilate MPD strictures secondary to CP was evaluated. Read More

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http://dx.doi.org/10.1016/j.gie.2018.08.019DOI Listing
December 2018
2 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

Coexistence of Complete Pancreas Divisum and Anomalous Pancreaticobiliary Junction in a Patient With Type IA Choledochal Cyst.

Clin Gastroenterol Hepatol 2018 Aug 2. Epub 2018 Aug 2.

Department of Gastroenterology, Nanjing Drum Tower Hospital, Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiang Su Province, China.

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http://dx.doi.org/10.1016/j.cgh.2018.07.036DOI Listing
August 2018
43 Reads

Embryological etiology of pancreaticobiliary system predicted from pancreaticobiliary maljunction with incomplete pancreatic divisum: a case report.

BMC Surg 2018 Aug 2;18(1):50. Epub 2018 Aug 2.

Department of Surgery, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke City, Tochigi, 329-0498, Japan.

Background: The genesis of the "complex type" classification of pancreaticobiliary maljunction (PBM) is unclear, and the pancreaticobiliary anatomy is also varied according to each case. We encountered a patient with PBM and incomplete pancreatic divisum (PD). We herein discussed about the embryological etiology of pancreaticobiliary system predicted from PBM with incomplete PD. Read More

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http://dx.doi.org/10.1186/s12893-018-0385-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6090945PMC

Circumportal pancreas accompanied with pancreas divisum in a deceased donor for islet transplantation.

Surg Radiol Anat 2018 Nov 24;40(11):1323-1325. Epub 2018 Jul 24.

Clinical Islet Transplant Program, University of Alberta, Alberta, Canada.

Circumportal pancreas is a rare and previously not well-recognized anatomical variant. In contrast, pancreas divisum is the most frequent anatomical variant in the pancreas. We report a case in which circumportal pancreas was accompanied with pancreas divisum in a deceased donor for islet transplantation. Read More

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http://dx.doi.org/10.1007/s00276-018-2072-7DOI Listing
November 2018
3 Reads

Total Dorsal Pancreatectomy, an Alternative to Total Pancreatectomy: Report of a New Case and Literature Review.

Dig Surg 2018 Jul 13:1-6. Epub 2018 Jul 13.

Background: Total dorsal pancreatectomy (TDP) is a conservative pancreatic resection that should be considered in cases of benign or low malignant tumors confined to the dorsal pancreas to preserve the viability of both digestive and biliary tracts, and to avoid the endocrine and metabolic consequences of total pancreatectomy. We report a new case of TDP and provide a literature review of this procedure.

Methods: The case reported was a 35-year-old female patient with a solid pseudopapillary tumor. Read More

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http://dx.doi.org/10.1159/000490198DOI Listing
July 2018
2 Reads

Pancreas Divisum in Pediatric Acute Recurrent and Chronic Pancreatitis: Report From INSPPIRE.

J Clin Gastroenterol 2018 Jun 2. Epub 2018 Jun 2.

Department of Pediatrics, Stead Family Children's Hospital, University of Iowa, Iowa City, IA.

Introduction: The significance of pancreas divisum (PD) as a risk factor for pancreatitis is controversial. We analyzed the characteristics of children with PD associated with acute recurrent or chronic pancreatitis to better understand its impact.

Patients And Methods: We compared children with or without PD in the well-phenotyped INSPPIRE (INternational Study group of Pediatric Pancreatitis: In search for a cuRE) cohort. Read More

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http://dx.doi.org/10.1097/MCG.0000000000001063DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6275137PMC
June 2018
16 Reads
1 Citation
3.500 Impact Factor

Rare case of severe acute pancreatitis following over-the-scope clip-assisted duodenal endoscopic mucosal resection using a cap-fitted endoscope in a patient with pancreas divisum.

Dig Endosc 2018 Sep 21;30(5):679. Epub 2018 Jun 21.

Department of Gastroenterology, NTT Medical Center Tokyo, Tokyo, Japan.

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http://dx.doi.org/10.1111/den.13200DOI Listing
September 2018
6 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
10 Reads

[Multidisciplinary approach to surgical disorders of the pancreas in children].

Rozhl Chir 2018 ;97(3):109-116

Introduction: Surgical diseases of the pancreas in children are not common and may be associated with significant morbidity and potential mortality. A multidisciplinary approach is essential for correct diagnosis, surgical strategy and postoperative as well as follow-up care.

Method: Retrospective analysis of patients operated on due to a pathological lesion of the pancreas focused on diagnostics, operating procedures, postoperative complications, and long-term results. Read More

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January 2018
25 Reads

The Main Anatomical Variations of the Pancreatic Duct System: Review of the Literature and Its Importance in Surgical Practice.

J Clin Med Res 2018 May 16;10(5):370-375. Epub 2018 Mar 16.

Laboratory of Anatomy in the Department of Physical Education and Sports Science (Serres), Aristotele University of Thessaloniki, Thessaloniki, Greece.

Anatomical variations or anomalies of the pancreatic ducts are important in the planning and performance of endoscopic retrograde cholangiopancreatography (ERCP) and surgical procedures of the pancreas. Normal pancreatic duct anatomy occurs in approximately 94.3% of cases, and multiple variations have been described for the remaining 5. Read More

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http://dx.doi.org/10.14740/jocmr3344wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5862083PMC
May 2018
6 Reads

Pancreatic Divisum: An Unusual Cause of Chronic Pancreatitis in a Young Patient.

Cureus 2017 Nov 17;9(11):e1856. Epub 2017 Nov 17.

Assistant Clinical Professor of Internal Medicine, West Virginia University School of Medicine.

Pancreatic divisum is a condition that occurs in 4-14% of the population. Pancreatic divisum occurs in development when the ventral bud and dorsal bud of the pancreas fail to fuse. Patients with this condition are usually asymptomatic, however, 25-38% of these patients experience recurrent pancreatitis that may further progress to chronic pancreatitis. Read More

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https://www.cureus.com/articles/9781-pancreatic-divisum-an-u
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http://dx.doi.org/10.7759/cureus.1856DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5773283PMC
November 2017
6 Reads

Are you prepared for pancreas bifidum? A case report.

Ann Surg Treat Res 2018 Jan 28;94(1):49-51. Epub 2017 Dec 28.

Center for Liver Cancer, National Cancer Center, Goyang, Korea.

Pancreas divisum-failure of fusion of the dorsal and ventral pancreatic ducts-is relatively well known as the most common congenital anomaly of the pancreatic duct, of with an incidence approximately 10% of all embryos. And there is a rare anomaly similar to pancreas divisum in which doubled ducts are formed. This condition is a rare developmental anomaly called pancreas bifidum or bifid pancreas or fish tail pancreas. Read More

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http://dx.doi.org/10.4174/astr.2018.94.1.49DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5765278PMC
January 2018
5 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

Yield of Endoscopic Ultrasound in Children and Adolescent With Acute Recurrent Pancreatitis.

J Pediatr Gastroenterol Nutr 2018 Mar;66(3):461-465

Department of Pediatric Gastroenterology.

Objectives: Endoscopic ultrasound (EUS) is an established tool for evaluation of adults with acute recurrent pancreatitis (ARP) whereas data in pediatrics is limited. Our study assessed the role of EUS in identifying etiology including changes of chronic pancreatitis (CP) in children and adolescents with ARP.

Methods: Children with ARP (≥2 episodes of acute pancreatitis [AP]) were prospectively evaluated with a detailed clinical proforma and EUS. Read More

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http://dx.doi.org/10.1097/MPG.0000000000001855DOI Listing
March 2018
14 Reads

Endoscopic Placement of a U-Shaped Plastic Stent in Patients With Recurrent Acute Pancreatitis and Incomplete Pancreas Divisum.

Am J Gastroenterol 2017 Dec;112(12):1777

Department of Gastroenterology, West China Hospital, Sichuan University, Sichuan, P.R. China.

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http://dx.doi.org/10.1038/ajg.2017.388DOI Listing
December 2017
16 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
19 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

The crossing duct sign.

Abdom Radiol (NY) 2018 Jun;43(6):1506-1507

Department of Radiology, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong, Hong Kong SAR.

Pancreas divisum is a common variation in pancreatic ductal anatomy present in up to 10% of the population with variable clinical importance. The crossing duct sign refers to the appearance of dominant dorsal duct crossing the intrapancreatic common bile duct to empty into the minor papilla, best illustrated on maximum intensity projection images from MRCP. Read More

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http://dx.doi.org/10.1007/s00261-017-1312-3DOI Listing
June 2018
7 Reads

The efficacy of endoscopic therapy for pancreas divisum: a meta-analysis.

Ann Gastroenterol 2017 12;30(5):550-558. Epub 2017 May 12.

Department of Medicine, Division of Digestive Diseases and Nutrition, University of Kentucky College of Medicine, USA.

Background: The purpose of this study was to perform a meta-analysis assessing the efficacy and predictors of success of endoscopic therapy in the management of patients with pancreas divisum.

Methods: An electronic database search (PubMed and ScienceDirect) was performed for relevant studies. Studies were selected based on predefined criteria and data were extracted on patient population, follow up, endotherapy methods, success rates and complication rates. Read More

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http://dx.doi.org/10.20524/aog.2017.0159DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5566776PMC
May 2017
8 Reads

Stent drainage achieved by endoscopic ultrasonography-guided puncture from duodenal bulb to the minor pancreatic duct for the treatment of acute epigastric pain in a patient with pancreas divisum.

Endosc Ultrasound 2018 Mar-Apr;7(2):130-132

Department of Gastroenterology and Hepatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology; Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province, China.

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http://dx.doi.org/10.4103/eus.eus_35_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5914185PMC
July 2017
18 Reads

Balloon Dilatation of the Minor Duodenal Papilla Up to 4 mm is Safe in a Porcine Model.

Surg Laparosc Endosc Percutan Tech 2017 Aug;27(4):e44-e47

Departments of *General, Visceral and Transplant Surgery †Gastroenterology, University Hospital of Heidelberg, Heidelberg, Germany ‡Centre of Visceral Surgery, Klinik Beau-Site, Hirslanden, Bern §Department of Surgery, Spital STS AG Thun, Thun, Switzerland.

Objectives: Balloon dilatation of the minor duodenal papilla is a treatment option for symptomatic pancreas divisum. The histologic effects of balloon dilatation have not yet been evaluated. The aim of this study is to investigate the tolerated extent of dilatation of the minor papilla. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000414DOI Listing
August 2017
33 Reads

A Rare Case of Pancreas Divisum Accompanied by Acute Pancreatitis Following Endoscopic Hemostasis for Duodenal Ulcer Bleeding.

Korean J Gastroenterol 2017 Apr;69(4):248-252

Department of Internal Medicine, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Korea.

Peptic ulcer bleeding is treated using endoscopic hemostasis using clips or bands. Pancreas divisum (PD), a congenital anomaly of the pancreas, usually has no clinical symptoms; however, pancreatitis may occur if there are disturbances in the drainage of pancreatic secretions. We report an unusual case of PD accompanied by acute pancreatitis, following endoscopic band ligation for duodenal ulcer bleeding. Read More

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http://dx.doi.org/10.4166/kjg.2017.69.4.248DOI Listing
April 2017
19 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
11 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

Is acute recurrent pancreatitis in children a precursor of chronic pancreatitis? A long-term follow-up study of 93 cases.

Dig Liver Dis 2017 Jul 6;49(7):796-801. Epub 2017 Mar 6.

Department of Pediatric Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.

Background/aims: In view of paucity of literature we analyzed our experience of acute recurrent pancreatitis (ARP) to study clinical profile and long-term outcome.

Methods: Over 13 years, 93 consecutive children (≤18 years) diagnosed to have ARP were included in this study. Magnetic resonance cholangiopancreatography was done at baseline and on follow-up. Read More

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http://dx.doi.org/10.1016/j.dld.2017.02.019DOI Listing
July 2017
7 Reads

A rare case of choledochal cyst with pancreas divisum: case presentation and literature review.

Ann Hepatobiliary Pancreat Surg 2017 Feb 28;21(1):52-56. Epub 2017 Feb 28.

Department of Hepatopancreatobiliary Surgery, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.

Choledochal cysts are rare congenital malformations of the bile duct characterized by dilatations of the intrahepatic and/or extrahepatic portion of the biliary tree, they are associated to an anomalous arrangement of the pancreaticobiliary duct. Pancreas divisum results from a fusion failure of the pancreatic buds. The coexistence of pancreas divisum and choledochal cyst in adults has been reported in less than 10 well documented cases. Read More

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http://dx.doi.org/10.14701/ahbps.2017.21.1.52DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5353911PMC
February 2017
6 Reads

Laparoscopic Total Pancreatectomy With Islet Autotransplantation and Intraoperative Islet Separation as a Treatment for Patients With Chronic Pancreatitis.

JAMA Surg 2017 06;152(6):550-556

Department of Surgery, Johns Hopkins University, Baltimore, Maryland.

Importance: Pain management of patients with chronic pancreatitis (CP) can be challenging. Laparoscopy has been associated with markedly reduced postoperative pain but has not been widely applied to total pancreatectomy with islet autotransplantation (TPIAT).

Objective: To examine the feasibility of using laparoscopic TPIAT (L-TPIAT) in the treatment of CP. Read More

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http://dx.doi.org/10.1001/jamasurg.2016.5707DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5540049PMC
June 2017
25 Reads

Success and safety of endoscopic retrograde cholangiopancreatography in children.

J Pediatr Surg 2017 Jul 1;52(7):1148-1151. Epub 2017 Feb 1.

Division of Pediatric Surgery, DeWitt-Daughtry Family Department of Surgery, Leonard M. Miller School of Medicine, University of Miami, Miami, FL, USA. Electronic address:

Purpose: Despite its diagnostic and therapeutic utility, endoscopic retrograde cholangiopancreatography (ERCP) is underutilized in children.

Methods: Patients younger than 18years undergoing ERCP from 2000 to 2014 at a children's hospital were identified. Patient characteristics and outcomes were evaluated. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2017.01.051DOI Listing
July 2017
18 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

Horizontal traumatic laceration of the pancreas head: A rare case report.

Int J Surg Case Rep 2017 17;31:119-123. Epub 2017 Jan 17.

Division of Hepato-biliary-pancreas Surgery, Department of Surgery, Faculty of Medicine University of Miyazaki, 5200 Kihara Kiyotake, Miyazaki, 889-1692, Japan.

Introduction: This case report is intended to inform acute care surgeons about treating rare horizontal laceration of the pancreas head caused by blunt trauma.

Case Presentation: A 57-year-old woman who sustained blunt abdominal trauma during a car crash was transported to the emergency center of our hospital with unstable vital signs due to hemorrhagic shock. Computed tomography showed transection of the pancreas head and massive intra-abdominal hemorrhage. Read More

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http://dx.doi.org/10.1016/j.ijscr.2017.01.030DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5279907PMC
January 2017
5 Reads

A systematic review and quantitative analysis of different therapies for pancreas divisum.

Am J Surg 2017 Sep 3;214(3):525-537. Epub 2017 Jan 3.

Department of General, Visceral and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany. Electronic address:

Background: Pancreas divisum is the most common anatomical variation of pancreatic ductal system affecting 5-10% of population. Therapy includes different endoscopic and surgical procedures. The aim of this article was to summarize actual evidence of different treatment. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2016.12.025DOI Listing
September 2017
7 Reads