-transparent.png){kind=logo}
Pancreas divisum is a congenital anatomic variant characterized by nonunion of dorsal and ventral pancreatic ducts in an otherwise fused pancreas. Of 21 patients with divisum documented by endoscopic retrograde cholangiopancreatography, 6 (28 percent) were found to have no reason other than divisum to account for multiple attacks of pancreatitis. Cholelithiasis was present in one patient, who remains free of recurrent pancreatitis after cholecystectomy only. The remaining five patients underwent surgical treatment directed at pancreas divisum in the belief that stenosis of the duct of Santorini at the entrance into the duodenum is responsible for recurrent attacks of pancreatitis. Four of five have done well with follow-up of 12, 13, 18 and 28 months. Successful sphincteroplasty of the duct of Santorini appears to prevent recurrent attacks of pancreatitis due to pancreas divisum. Pancreaticojejunostomy is reserved for those with markedly dilated ducts secondary to chronic pancreatitis.
M Cooperman, and
J J Ferrara, and
J J Fromkes, and
L C Carey
September 2006,
Current treatment options in gastroenterology,
M Cooperman, and
J J Ferrara, and
J J Fromkes, and
L C Carey
January 1982,
Chirurgie; memoires de l'Academie de chirurgie,
M Cooperman, and
J J Ferrara, and
J J Fromkes, and
L C Carey
June 2000,
Annals of surgery,
M Cooperman, and
J J Ferrara, and
J J Fromkes, and
L C Carey
April 1983,
American journal of surgery,
M Cooperman, and
J J Ferrara, and
J J Fromkes, and
L C Carey
April 1995,
Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke,
M Cooperman, and
J J Ferrara, and
J J Fromkes, and
L C Carey
June 1985,
The American surgeon,
M Cooperman, and
J J Ferrara, and
J J Fromkes, and
L C Carey
November 2019,
Expert review of gastroenterology & hepatology,
M Cooperman, and
J J Ferrara, and
J J Fromkes, and
L C Carey
January 2002,
Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru,
M Cooperman, and
J J Ferrara, and
J J Fromkes, and
L C Carey
January 1988,
Advances in surgery,
M Cooperman, and
J J Ferrara, and
J J Fromkes, and
L C Carey
June 1983,
Annals of surgery,
