No Detail Found!

Pancreas Divisum.

Author(s)
Muhammad Ali Taj Department of Gastroenterology, The Indus Hospital, Karachi, Pakistan
Sajida Qureshi Department of Surgery, Dow University Health Sciences and Civil Hospital, Karachi, Pakistan
Shahriyar Ghazanfar Department of Surgery, Dow University Health Sciences and Civil Hospital, Karachi, Pakistan
Arif Rasheed Siddiqui Department of Surgery, Dow University Health Sciences and Civil Hospital, Karachi, Pakistan
Saad Khalid Niaz Department of Gastroenterology, The Indus Hospital, Karachi, Pakistan
M. Saeed Quraishy Department of Gastroenterology, Patel Hospital, Karachi, Pakistan
Muhammad Shahid Department of Emergency, The Indus Hospital, Karachi, Pakistan
Abstract
Objective: To evaluate the complications, technical success, diagnostic evaluation and various endoscopic management options in patients with pancreas divisum. Study Design: Descriptive study. Place and Duration of Study: Endoscopy Suite, Surgical Unit 4, Civil Hospital, Karachi, from January 2007 to December 2013. Methodology: All Endoscopic Retrograde Cholangio-pancreatography (ERCPs) procedure performed in patients with pancreas divisum were analyzed. Success was defined as having authentic diagnostic information or a successful endoscopic therapy for the condition. Results: During the study period, 3600 patients underwent 4500 ERCP procedures. Pancreas divisum was found in 17 patients (0.47%); 7 ERCPs (41.2%) were performed for diagnostic and 10 (58.8%) for therapeutic purposes. Sixteen (94.1%) had complete PD and one (5.9%) had incomplete PD. Male and Female ratio was 1:1.83 with a mean age of 26.3 years and median symptom duration of 11 months. A total of 23 procedures were performed in 17 patients; 2 had ERCP done thrice, 2 underwent the procedure twice, while the rest had single procedure done. Six (35.3%) patients had chronic pancreatitis, 7 (41.2%) had acute recurrent pancreatitis and 4 (23.5%) had acute pancreatitis. Endoscopic minor papillotomy was performed. There was no procedure-related mortality. ERCP affected management in 88.2% (15/17 procedures). Conclusion: ERCP is a safe and feasible procedure for pancreas divisum patients.
Publication Details
Page(s) 96-99
DOI DOI not available
Published Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 26, Issue: 2, Year: 2016

Request the full text from PASTIC

More from Journal of College of Physicians and Surgeons--Pakistan : JCPSP
0

Citations

0

Downloads

46

Views

Copyright ©  PASTIC National Center, Islamabad www.pastic.gov.pk