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Pancreas Divisum
Muhammad Ali Taj1, Sajida Qureshi2, Shahriyar Ghazanfar2
1Department of Gastroenterology, The Indus Hospital, Karachi.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|February 16, 2016
Summary
Endoscopic Retrograde Cholangio-pancreatography (ERCP) is a safe and effective procedure for diagnosing and managing pancreas divisum. This study found ERCP successfully impacted patient management with no procedure-related mortality.
Area of Science:
- Gastroenterology
- Endoscopic Procedures
- Pancreatic Diseases
Background:
- Pancreas divisum (PD) is a congenital anomaly of the pancreaticobiliary system.
- Management of PD often involves endoscopic interventions.
- Evaluating the safety and efficacy of these interventions is crucial.
Purpose of the Study:
- To assess complications, technical success, and diagnostic yield of Endoscopic Retrograde Cholangio-pancreatography (ERCP) in patients with pancreas divisum.
- To review endoscopic management options for pancreas divisum.
- To determine the impact of ERCP on patient management.
Main Methods:
- A descriptive study analyzing all ERCP procedures performed in patients diagnosed with pancreas divisum.
- Data collected from January 2007 to December 2013 at Civil Hospital, Karachi.
- Success defined by diagnostic information or successful endoscopic therapy.
Main Results:
- Pancreas divisum was identified in 17 out of 3600 patients (0.47%).
- ERCP was performed for diagnostic (41.2%) and therapeutic (58.8%) purposes.
- No procedure-related mortality was observed; ERCP affected management in 88.2% of patients.
Conclusions:
- Endoscopic Retrograde Cholangio-pancreatography is a safe and feasible procedure for patients with pancreas divisum.
- ERCP provides valuable diagnostic and therapeutic benefits for managing PD.
- The study supports the role of ERCP in the clinical management of pancreas divisum.
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