Document Detail


Pancreas divisum: congenital anatomic variant or anomaly? Contribution of endoscopic retrograde dorsal pancreatography.
MedLine Citation:
PMID:  4043675     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The relationship between pancreas divisum and pancreatic disease has been studied in a series of 304 patients. This congenital anatomic variant, consisting of a separate pancreatic ductal system, was diagnosed by endoscopic pancreatography and dorsal duct opacification was achieved in 97 of these patients. This anatomic variation was observed with the same frequency in cases of pancreatitis (acute and chronic) (6.9%) and in the series of patients investigated by endoscopic pancreatography taken as a whole (5.7%). Moreover, incidences of pancreatic disease in patients with and without pancreas divisum were not statistically different when compared. These results show that pancreas divisum should not be regarded as an etiologic factor in pancreatitis but should be considered as a coincidental anatomic variant encountered in nearly 10% of the population. The results obtained herein do not support the hypothesis that stenosis of the accessory papilla occurs frequently in cases of pancreas divisum. We conclude that no further therapy should be systematically proposed for patients with pancreas divisum and pancreatitis.
Authors:
M Delhaye; L Engelholm; M Cremer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Gastroenterology     Volume:  89     ISSN:  0016-5085     ISO Abbreviation:  Gastroenterology     Publication Date:  1985 Nov 
Date Detail:
Created Date:  1985-11-15     Completed Date:  1985-11-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0374630     Medline TA:  Gastroenterology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  951-8     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Biliary Tract Diseases / radiography
Cholangiopancreatography, Endoscopic Retrograde / methods*
Female
Humans
Male
Middle Aged
Pancreas / abnormalities*,  radiography
Pancreatic Diseases / etiology*,  radiography
Pancreatic Ducts / abnormalities*,  radiography
Pancreatic Neoplasms / radiography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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