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Pancrease divisum: five years' experience in a teaching hospital

A Dhar1, M K Goenka, R Kochhar

  • 1Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh.

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
|January 1, 1996
PubMed
Summary
This summary is machine-generated.

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Pancreas divisum, a congenital anomaly, occurs in 3.7% of patients. Its prevalence is significantly higher in those with pancreatitis, suggesting a link to idiopathic pancreatitis.

Area of Science:

  • Gastroenterology
  • Medical Imaging
  • Anatomical Variations

Background:

  • Pancreas divisum is a common congenital anomaly of the pancreatic duct system.
  • Its clinical significance, particularly in relation to pancreatitis, remains a subject of investigation.

Purpose of the Study:

  • To determine the frequency of pancreas divisum.
  • To evaluate the association between pancreas divisum and pancreatitis, biliary disease, and obscure abdominal pain.

Main Methods:

  • Retrospective analysis of 809 pancreatograms performed between July 1989 and June 1994.
  • Diagnosis of pancreas divisum based on ductal anatomy observed during pancreatography.
  • Statistical comparison of pancreas divisum frequency across different patient groups.

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Main Results:

  • Pancreas divisum was diagnosed in 3.7% (30 of 809) of patients.
  • The frequency of pancreas divisum was significantly higher in patients with pancreatitis (9.2%) compared to those with biliary disease or obscure abdominal pain (1.9%; p < 0.001).
  • Two patients with pancreas divisum showed chronic pancreatitis changes in the dorsal duct.

Conclusions:

  • Pancreas divisum is a relatively common condition in India.
  • The higher frequency in patients with idiopathic pancreatitis suggests a potential etiological role.
  • Pancreas divisum should be considered in the evaluation of idiopathic pancreatitis.