Pancreas divisum: results of minor papilla sphincterotomy

摘要: A subpopulation of pancreas divisum patients may have pancreatic pain or pancreatitis as a result stenotic minor papilla. This study was undertaken to evaluate the efficacy papilla sphincterotomy in 52 who had disabling chronic (n = 24), acute recurrent 17), 11). Patients were symptomatic for mean time 5.1 years and failed respond conservative therapy. Minor performed with needle knife over previously placed papilla/dorsal duct stent. Clinical improvement assessed by comparison symptoms (using 0 10 scale) number hospital days per month required an equal period before after The average duration follow-up 1.7 years. As compared groups, group significant reduction symptom score month. benefited from more frequently than those (76.5% versus 27.3%, p 0.01) 26.1%, 0.002). Complications followed 15% procedures; they consisted primarily mild pancreatitis, although one additional patient died abscess cannulation. Fifty percent evaluated at stent removal stent-induced dorsal changes. results this support performance therapy pancreatitis.(ABSTRACT TRUNCATED AT 250 WORDS)