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Surgery: Most people don’t need surgery for pancreatic divisum. Still, you may need surgery if you’re not eligible for endoscopy or if you had endoscopy in the past and it failed to work.
12 Μαΐ 2021 · All patients selected for surgical treatment should have confirmation of pancreas divisum by endoscopic retrograde cholangiopancreatography (ERCP). The choice of operation depends on the...
1 Αυγ 2019 · We analyzed and described the main indications in the treatment of pancreas divisum, focusing on surgical treatment and a discussion of the different approaches. Furthermore, we report the results from our experience in two cases of pancreas divisum treated by pancreatic head resection with segmental duodenectomy (the Nakao procedure).
Because of the underlying duct anomalies and major pathomorphological changes in the pancreatic head, duodenum-preserving pancreatic head resection (DPPHR) offers an option for causal treatment. Thirty-six patients with pancreatitis caused by PD were treated surgically. Thirty patients suffered from CP, 6 from rAP.
Pancreas divisum, the most common congenital malformation of the pancreas, occurs due to a failure of fusion of the ductal systems of the dorsal and ventral pancreatic buds in the seventh week of intra-uterine life.
Treatment. Pancreas divisum in individuals with no symptoms does not require treatment. Treatment of those with symptoms varies and has not been well established. A surgeon may attempt a Puestow procedure or sphincterotomy by cutting the minor papilla to enlarge the opening and allow pancreatic enzymes to flow normally.
Pancreas divisum is a common pancreatic malformation in which only a few patients develop a symptomatic disease. Surgical treatment is needed in case of endoscopic drainage failure and in cases complicated with chronic pancreatitis and local complications.
