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Volumn 13, Issue 2, 2011, Pages 150-156

Pancreas divisum

Author keywords

Acute pancreatitis; Chronic pancreatitis; Pancreas divisum; Sphincterotomy

Indexed keywords

LOXIGLUMIDE; OCTREOTIDE; PLACEBO; TRANSMEMBRANE CONDUCTANCE REGULATOR;

EID: 79955828892     PISSN: 15228037     EISSN: None     Source Type: Journal    
DOI: 10.1007/s11894-010-0170-8     Document Type: Review
Times cited : (51)

References (56)
  • 1
    • 33846018077 scopus 로고    scopus 로고
    • Does endoscopic therapy favorably affect the outcome of patients who have recurrent acute pancreatitis and pancreas divisum?
    • To address an important and long-standing controversy in clinical pancreatology, this two-part discussion focuses on data and arguments for and against endoscopic therapy for patients with recurrent acute pancreatitis and PD. Coauthors Fogel, Toth, and Lehman report "The Case for Endoscopic Therapy" and coauthors DiMagno and DiMagno report "The Cases Against Endoscopic Therapy." The section by DiMagno and DiMagno also includes multiple new analyses of the world's literature to report prevalence data of PD in idiopathic pancreatitis based on whether data were derived from autopsy, endoscopic, or MRCP literature
    • Fogel EL, Toth TG, Lehman GA, et al.: Does endoscopic therapy favorably affect the outcome of patients who have recurrent acute pancreatitis and pancreas divisum? Pancreas (2007) 34(1):21-45. To address an important and long-standing controversy in clinical pancreatology, this two-part discussion focuses on data and arguments for and against endoscopic therapy for patients with recurrent acute pancreatitis and PD. Coauthors Fogel, Toth, and Lehman report "The Case for Endoscopic Therapy" and coauthors DiMagno and DiMagno report "The Cases Against Endoscopic Therapy." The section by DiMagno and DiMagno also includes multiple new analyses of the world's literature to report prevalence data of PD in idiopathic pancreatitis based on whether data were derived from autopsy, endoscopic, or MRCP literature.
    • (2007) Pancreas , vol.34 , Issue.1 , pp. 21-45
    • Fogel, E.L.1    Toth, T.G.2    Lehman, G.A.3
  • 2
    • 0027946488 scopus 로고
    • The different courses of early- and late-onset idiopathic and alcoholic chronic pancreatitis
    • Layer P, Yamamoto H, Kalthoff L, et al.: The different courses of early- and late-onset idiopathic and alcoholic chronic pancreatitis. Gastroenterology (1994) 107(5):1481-1487. (Pubitemid 24328288)
    • (1994) Gastroenterology , vol.107 , Issue.5 , pp. 1481-1487
    • Layer, P.1    Yamamoto, H.2    Kalthoff, L.3    Clain, J.E.4    Bakken, L.J.5    DiMagno, E.P.6
  • 4
    • 0018889611 scopus 로고
    • Congenital anomaly of pancreas divisum as cause of obstructive pain and pancreatitis
    • Cotton PB: Congenital anomaly of pancreas divisum as cause of obstructive pain and pancreatitis. Gut (1980) 21(2):105-114.
    • (1980) Gut , vol.21 , Issue.2 , pp. 105-114
    • Cotton, P.B.1
  • 5
    • 0020033070 scopus 로고
    • Clinico-pathological conditions associated with pancreas divisum
    • Sahel J, Cros RC, Bourry J, Sarles H: Clinico-pathological conditions associated with pancreas divisum. Digestion (1982) 23(1):1-8. (Pubitemid 12150619)
    • (1982) Digestion , vol.23 , Issue.1 , pp. 1-8
    • Sahel, J.1    Cros, R.C.2    Bourry, J.3    Sarles, H.4
  • 6
    • 0019465519 scopus 로고
    • Association of pancreas divisum and pancreatitis, and its treatment by sphincteroplasty of the accessory ampulla
    • Richter JM, Schapiro RH, Mulley AG, Warshaw AL: Association of pancreas divisum and pancreatitis, and its treatment by sphincteroplasty of the accessory ampulla. Gastroenterology (1981) 81(6):1104-1110. (Pubitemid 11029692)
    • (1981) Gastroenterology , vol.81 , Issue.6 , pp. 1104-1110
    • Richter, J.M.1    Schapiro, R.H.2    Mulley, A.G.3    Warshaw, A.L.4
  • 7
    • 0025726525 scopus 로고
    • Pancreas divisum and pancreatitis: A coincidental association?
    • Burtin P, Person B, Charneau J, Boyer J: Pancreas divisum and pancreatitis: a coincidental association? Endoscopy (1991) 23 (2):55-58.
    • (1991) Endoscopy , vol.23 , Issue.2 , pp. 55-58
    • Burtin, P.1    Person, B.2    Charneau, J.3    Boyer, J.4
  • 8
    • 0022375204 scopus 로고
    • Pancreas divisum: Congenital anatomic variant or anomaly? Contribution of endoscopic retrograde dorsal pancreatography
    • Delhaye M, Engelholm L, Cremer M: Pancreas divisum: congenital anatomic variant or anomaly? Contribution of endoscopic retrograde dorsal pancreatography. Gastroenterology (1985) 89(5):951-958. (Pubitemid 16231554)
    • (1985) Gastroenterology , vol.89 , Issue.5 , pp. 951-958
    • Delhaye, M.1    Engelholm, L.2    Cremer, M.3
  • 9
    • 0023088673 scopus 로고
    • Pancreas divisum: Is it a normal anatomic variant?
    • Sugawa C, Walt AJ, Nunez DC, Masuyama H: Pancreas divisum: is it a normal anatomic variant? Am J Surg (1987) 153(1):62-67.
    • (1987) Am J Surg , vol.153 , Issue.1 , pp. 62-67
    • Sugawa, C.1    Walt, A.J.2    Nunez, D.C.3    Masuyama, H.4
  • 10
    • 0025349348 scopus 로고
    • Pancreas divisum is a probable cause of acute pancreatitis: A report of 137 cases
    • Bernard JP, Sahel J, Giovannini M, Sarles H: Pancreas divisum is a probable cause of acute pancreatitis: a report of 137 cases. Pancreas (1990) 5(3):248-254. (Pubitemid 20149057)
    • (1990) Pancreas , vol.5 , Issue.3 , pp. 248-254
    • Bernard, J.P.1    Sahel, J.2    Giovannini, M.3    Sarles, H.4
  • 11
    • 67849104956 scopus 로고    scopus 로고
    • A systematic review on endoscopic detection rate, endotherapy, and surgery for pancreas divisum
    • A systematic review of ERCP detection rates for PD reported a 2.9% prevalence of PD out of 31,413 ERCPs from 17 studies. PD prevalence varied by different geographic regions, but these apparent regional differences are likely attributable to the degree that endoscopists search for PD (by examining both ductal systems), to referral bias, or to other factors
    • Liao Z, Gao R, Wang W, et al.: A systematic review on endoscopic detection rate, endotherapy, and surgery for pancreas divisum. Endoscopy (2009) 41(5):439-444. A systematic review of ERCP detection rates for PD reported a 2.9% prevalence of PD out of 31,413 ERCPs from 17 studies. PD prevalence varied by different geographic regions, but these apparent regional differences are likely attributable to the degree that endoscopists search for PD (by examining both ductal systems), to referral bias, or to other factors.
    • (2009) Endoscopy , vol.41 , Issue.5 , pp. 439-444
    • Liao, Z.1    Gao, R.2    Wang, W.3
  • 12
    • 0029704203 scopus 로고    scopus 로고
    • Alcoholic chronic pancreatitis: Its relation to alcoholic acute pancreatitis
    • Ammann RW: Alcoholic chronic pancreatitis: its relation to alcoholic acute pancreatitis. Gastroenterol Clin Biol (1996) 20 (3):312-314.
    • (1996) Gastroenterol Clin Biol , vol.20 , Issue.3 , pp. 312-314
    • Ammann, R.W.1
  • 13
    • 84956591353 scopus 로고
    • Chronic relapsing pancreatitis: A study of 29 cases without associated disease of the biliary or gastro-intestinal tract
    • continued
    • Comfort MW, Gambill EE, Baggenstoss AH: Chronic relapsing pancreatitis: a study of 29 cases without associated disease of the biliary or gastro-intestinal tract (continued). Gastroenterology (1946) 6(376-408.
    • (1946) Gastroenterology , vol.6 , pp. 376-408
    • Comfort, M.W.1    Gambill, E.E.2    Baggenstoss, A.H.3
  • 14
    • 0028789677 scopus 로고
    • Clinical course and morphological features of chronic calcifying pancreatitis associated with pancreas divisum
    • Barthet M, Valantin V, Spinosa S, et al.: Clinical course and morphological features of chronic calcifying pancreatitis associated with pancreas divisum. Eur J Gastroenterol Hepatol (1995) 7 (10):993-998.
    • (1995) Eur J Gastroenterol Hepatol , vol.7 , Issue.10 , pp. 993-998
    • Barthet, M.1    Valantin, V.2    Spinosa, S.3
  • 15
    • 33947098993 scopus 로고    scopus 로고
    • Pancreas divisum does not modify the natural course of chronic pancreatitis
    • In a population with predominantly alcoholic chronic pancreatitis, groups with and without PD showed no significant differences among gender, age at onset of disease, clinical presentation, course of disease, and frequency of complications
    • Spicak J, Poulova P, Plucnarova J, et al.: Pancreas divisum does not modify the natural course of chronic pancreatitis. J Gastroenterol (2007) 42(2):135-139. In a population with predominantly alcoholic chronic pancreatitis, groups with and without PD showed no significant differences among gender, age at onset of disease, clinical presentation, course of disease, and frequency of complications.
    • (2007) J Gastroenterol , vol.42 , Issue.2 , pp. 135-139
    • Spicak, J.1    Poulova, P.2    Plucnarova, J.3
  • 16
    • 15744387371 scopus 로고    scopus 로고
    • "Idiopathic" pancreatitis
    • Draganov P, Forsmark CE: "Idiopathic" pancreatitis. Gastroenterology (2005) 128(3):756-763.
    • (2005) Gastroenterology , vol.128 , Issue.3 , pp. 756-763
    • Draganov, P.1    Forsmark, C.E.2
  • 17
    • 77149174159 scopus 로고    scopus 로고
    • Diagnostic yield and reliability of endoscopic ultrasonography in patients with idiopathic acute pancreatitis
    • Vila JJ, Vicuna M, Irisarri R, et al.: Diagnostic yield and reliability of endoscopic ultrasonography in patients with idiopathic acute pancreatitis. Scand J Gastroenterol (2010) 45(3):375-381.
    • (2010) Scand J Gastroenterol , vol.45 , Issue.3 , pp. 375-381
    • Vila, J.J.1    Vicuna, M.2    Irisarri, R.3
  • 18
    • 33750631831 scopus 로고    scopus 로고
    • Trends in the epidemiology of the first attack of acute pancreatitis: A systematic review
    • DOI 10.1097/01.mpa.0000236733.31617.52, PII 0000667620061100000003
    • Yadav D, Lowenfels AB: Trends in the epidemiology of the first attack of acute pancreatitis: a systematic review. Pancreas (2006) 33(4):323-330. (Pubitemid 44690719)
    • (2006) Pancreas , vol.33 , Issue.4 , pp. 323-330
    • Yadav, D.1    Lowenfels, A.B.2
  • 19
    • 33846259783 scopus 로고    scopus 로고
    • Is Biliary Microlithiasis a Significant Cause of Idiopathic Recurrent Acute Pancreatitis? A Long-term Follow-up Study
    • DOI 10.1016/j.cgh.2006.06.023, PII S1542356506006756
    • Garg PK, Tandon RK,Madan K: Is biliary microlithiasis a significant cause of idiopathic recurrent acute pancreatitis? A long-term followup study. Clin Gastroenterol Hepatol (2007) 5(1):75-79. (Pubitemid 46096821)
    • (2007) Clinical Gastroenterology and Hepatology , vol.5 , Issue.1 , pp. 75-79
    • Garg, P.K.1    Tandon, R.K.2    Madan, K.3
  • 20
    • 0034942256 scopus 로고    scopus 로고
    • Prevention of pancreatitis in patients with idiopathic recurrent pancreatitis: A prospective nonblinded randomized study using endoscopic stents
    • DOI 10.1055/s-2001-15314
    • Jacob L, Geenen JE, Catalano MF, Geenen DJ: Prevention of pancreatitis in patients with idiopathic recurrent pancreatitis: a prospective nonblinded randomized study using endoscopic stents. Endoscopy (2001) 33(7):559-562. (Pubitemid 32618919)
    • (2001) Endoscopy , vol.33 , Issue.7 , pp. 559-562
    • Jacob, L.1    Geenen, J.E.2    Catalano, M.F.3    Geenen, D.J.4
  • 21
    • 9244254741 scopus 로고    scopus 로고
    • A prospective comparison of the yield of EUS in primary vs. recurrent idiopathic acute pancreatitis
    • DOI 10.1016/S0016-5107(04)02018-8, PII S0016510704020188
    • Yusoff IF, Raymond G, Sahai AV: A prospective comparison of the yield of EUS in primary vs. recurrent idiopathic acute pancreatitis. Gastrointest Endosc (2004) 60(5):673-678. (Pubitemid 39550922)
    • (2004) Gastrointestinal Endoscopy , vol.60 , Issue.5 , pp. 673-678
    • Yusoff, I.F.1    Raymond, G.2    Sahai, A.V.3
  • 26
    • 0034039578 scopus 로고    scopus 로고
    • Mutations in the gene encoding the serine protease inhibitor, Kazal type 1 are associated with chronic pancreatitis
    • Witt H, Luck W, Hennies HC, et al.: Mutations in the gene encoding the serine protease inhibitor, Kazal type 1 are associated with chronic pancreatitis. Nat Genet (2000) 25(2):213-216.
    • (2000) Nat Genet , vol.25 , Issue.2 , pp. 213-216
    • Witt, H.1    Luck, W.2    Hennies, H.C.3
  • 27
  • 28
    • 0035213536 scopus 로고    scopus 로고
    • Cystic fibrosis gene mutations and pancreatitis risk: Relation to epithelial ion transport and trypsin inhibitor gene mutations
    • Noone PG, Zhou Z, Silverman LM, et al.: Cystic fibrosis gene mutations and pancreatitis risk: relation to epithelial ion transport and trypsin inhibitor gene mutations. Gastroenterology (2001) 121 (6):1310-1319. (Pubitemid 33140448)
    • (2001) Gastroenterology , vol.121 , Issue.6 , pp. 1310-1319
    • Noone, P.G.1    Zhou, Z.2    Silverman, L.M.3    Jowell, P.S.4    Knowles, M.R.5    Cohn, J.A.6
  • 29
    • 0035211049 scopus 로고    scopus 로고
    • Gene mutations and idiopathic chronic pancreatitis: Clinical implications and testing
    • DiMagno EP: Gene mutations and idiopathic chronic pancreatitis: clinical implications and testing. Gastroenterology (2001) 121 (6):1508-1512.
    • (2001) Gastroenterology , vol.121 , Issue.6 , pp. 1508-1512
    • DiMagno, E.P.1
  • 30
    • 30744444177 scopus 로고    scopus 로고
    • The cystic fibrosis transmembrane conductance regulator gene and ion channel function in patients with idiopathic pancreatitis
    • Bishop MD, Freedman SD, Zielenski J, et al.: The cystic fibrosis transmembrane conductance regulator gene and ion channel function in patients with idiopathic pancreatitis. Hum Genet (2005) 1-10.
    • (2005) Hum Genet , pp. 1-10
    • Bishop, M.D.1    Freedman, S.D.2    Zielenski, J.3
  • 32
    • 76349094276 scopus 로고    scopus 로고
    • SPINK1 N34S is strongly associated with recurrent acute pancreatitis but is not a risk factor for the first or sentinel acute pancreatitis event
    • Aoun E, Muddana V, Papachristou GI, Whitcomb DC: SPINK1 N34S is strongly associated with recurrent acute pancreatitis but is not a risk factor for the first or sentinel acute pancreatitis event. Am J Gastroenterol (2010) 105(2):446-451.
    • (2010) Am J Gastroenterol , vol.105 , Issue.2 , pp. 446-451
    • Aoun, E.1    Muddana, V.2    Papachristou, G.I.3    Whitcomb, D.C.4
  • 34
    • 0242317845 scopus 로고    scopus 로고
    • Mutations of the CFTR gene in pancreatic disease
    • Pezzilli R,Morselli-LabateAM, MantovaniV, et al.:Mutations of the CFTR gene in pancreatic disease. Pancreas (2003) 27(4):332-336.
    • (2003) Pancreas , vol.27 , Issue.4 , pp. 332-336
    • Pezzilli, R.1    Morselli-Labate, A.M.2    Mantovani, V.3
  • 35
    • 0021917723 scopus 로고
    • Pancreatic fluid secretion and protein hyperconcentration in cystic fibrosis
    • Kopelman H, Durie P, Gaskin K, et al.: Pancreatic fluid secretion and protein hyperconcentration in cystic fibrosis. New England Journal of Medicine (1985) 312(6):329-334. (Pubitemid 15152645)
    • (1985) New England Journal of Medicine , vol.312 , Issue.6 , pp. 329-334
    • Kopelman, H.1    Durie, P.2    Gaskin, K.3
  • 36
    • 23244433449 scopus 로고    scopus 로고
    • A proinflammatory, antiapoptotic phenotype underlies the susceptibility to acute pancreatitis in cystic fibrosis transmembrane regulator (-/-) mice
    • DOI 10.1016/j.gastro.2005.05.059, PII S001650850501084X
    • DiMagno MJ, Lee SH, Hao Y, et al.: A proinflammatory, antiapoptotic phenotype underlies the susceptibility to acute pancreatitis in cystic fibrosis transmembrane regulator (-/-) mice. Gastroenterology (2005) 129(2):665-681. (Pubitemid 41096651)
    • (2005) Gastroenterology , vol.129 , Issue.2 , pp. 665-681
    • DiMagno, M.J.1    Lee, S.-H.2    Hao, Y.3    Zhou, S.-Y.4    McKenna, B.J.5    Owyang, C.6
  • 37
    • 77955593691 scopus 로고    scopus 로고
    • Inhibition of acinar apoptosis occurs during acute pancreatitis in the human homologue DeltaF508 cystic fibrosis mouse
    • DiMagno MJ, Lee SH, Owyang C, Zhou SY: Inhibition of acinar apoptosis occurs during acute pancreatitis in the human homologue DeltaF508 cystic fibrosis mouse. Am J Physiol Gastrointest Liver Physiol (2010) 299(2):G400-412.
    • (2010) Am J Physiol Gastrointest Liver Physiol , vol.299 , Issue.2
    • DiMagno, M.J.1    Lee, S.H.2    Owyang, C.3    Zhou, S.Y.4
  • 38
    • 37549072225 scopus 로고    scopus 로고
    • Chymotrypsin C (CTRC) variants that diminish activity or secretion are associated with chronic pancreatitis
    • Rosendahl J, Witt H, Szmola R, et al: Chymotrypsin C (CTRC) variants that diminish activity or secretion are associated with chronic pancreatitis. Nat Genet (2008) 40(1):78-82.
    • (2008) Nat Genet , vol.40 , Issue.1 , pp. 78-82
    • Rosendahl, J.1    Witt, H.2    Szmola, R.3
  • 39
    • 2442657876 scopus 로고    scopus 로고
    • A novel mutation of the calcium sensing receptor gene is associated with chronic pancreatitis in a family with heterozygous SPINK1 mutations
    • Felderbauer P, Hoffmann P, Einwachter H, et al.: A novel mutation of the calcium sensing receptor gene is associated with chronic pancreatitis in a family with heterozygous SPINK1 mutations. BMC Gastroenterol (2003) 3(1):34.
    • (2003) BMC Gastroenterol , vol.3 , Issue.1 , pp. 34
    • Felderbauer, P.1    Hoffmann, P.2    Einwachter, H.3
  • 40
    • 58049113219 scopus 로고    scopus 로고
    • Association between calcium sensing receptor gene polymorphisms and chronic pancreatitis in a US population: Role of serine protease inhibitor Kazal 1type and alcohol
    • Muddana V, Lamb J, Greer JB, et al.: Association between calcium sensing receptor gene polymorphisms and chronic pancreatitis in a US population: role of serine protease inhibitor Kazal 1type and alcohol. World J Gastroenterol (2008) 14 (28):4486-4491.
    • (2008) World J Gastroenterol , vol.14 , Issue.28 , pp. 4486-4491
    • Muddana, V.1    Lamb, J.2    Greer, J.B.3
  • 42
    • 0037043650 scopus 로고    scopus 로고
    • What is cystic fibrosis?
    • Knowles MR, Durie PR: What is cystic fibrosis? N Engl J Med (2002) 347(6):439-442.
    • (2002) N Engl J Med , vol.347 , Issue.6 , pp. 439-442
    • Knowles, M.R.1    Durie, P.R.2
  • 43
    • 77951681488 scopus 로고    scopus 로고
    • Corticosteroids correct aberrant CFTR localization in the duct and regenerate acinar cells in autoimmune pancreatitis
    • Ko SB, Mizuno N, Yatabe Y, et al.: Corticosteroids correct aberrant CFTR localization in the duct and regenerate acinar cells in autoimmune pancreatitis. Gastroenterology (2010) 138 (5):1988-1996.
    • (2010) Gastroenterology , vol.138 , Issue.5 , pp. 1988-1996
    • Ko, S.B.1    Mizuno, N.2    Yatabe, Y.3
  • 45
    • 70349659223 scopus 로고    scopus 로고
    • Association of SPINK1 gene mutation and CFTR gene polymorphisms in patients with pancreas divisum presenting with idiopathic pancreatitis
    • Garg PK, Khajuria R, Kabra M, et al.: Association of SPINK1 gene mutation and CFTR gene polymorphisms in patients with pancreas divisum presenting with idiopathic pancreatitis. J Clin Gastroenterol, 2009. 43(9): p. 848-52.
    • (2009) J Clin Gastroenterol , vol.43 , Issue.9 , pp. 848-852
    • Garg, P.K.1    Khajuria, R.2    Kabra, M.3
  • 46
    • 16244390238 scopus 로고    scopus 로고
    • Endoscopic therapy for pain in chronic pancreatitis: Is it time for the naysayers to throw in the towel?
    • Wilcox CM: Endoscopic therapy for pain in chronic pancreatitis: Is it time for the naysayers to throw in the towel? Gastrointest Endosc (2005) 61(4):582-586.
    • (2005) Gastrointest Endosc , vol.61 , Issue.4 , pp. 582-586
    • Wilcox, C.M.1
  • 47
    • 33645423968 scopus 로고
    • An open-label trial of octreotide for the pain of chronic pancreatitis
    • Toskes PP, Forsmark CE, DeMeo MT, et al: An open-label trial of octreotide for the pain of chronic pancreatitis. Gastroenterology (1994) 106(A326.
    • (1994) Gastroenterology , vol.106
    • Toskes, P.P.1    Forsmark, C.E.2    DeMeo, M.T.3
  • 48
    • 18744389156 scopus 로고    scopus 로고
    • Clinical evaluation of oral administration of a cholecystokinin-A receptor antagonist (loxiglumide) to patients with acute, painful attacks of chronic pancreatitis: A multicenter dose-response study in Japan
    • Shiratori K, Takeuchi T, Satake K, Matsuno S: Clinical evaluation of oral administration of a cholecystokinin-A receptor antagonist (loxiglumide) to patients with acute, painful attacks of chronic pancreatitis: a multicenter dose-response study in Japan. Pancreas (2002) 25(1):e1-5.
    • (2002) Pancreas , vol.25 , Issue.1
    • Shiratori, K.1    Takeuchi, T.2    Satake, K.3    Matsuno, S.4
  • 49
    • 59849092096 scopus 로고    scopus 로고
    • A randomized controlled trial of antioxidant supplementation for pain relief in patients with chronic pancreatitis
    • Bhardwaj P, Garg PK, Maulik SK, et al.: A randomized controlled trial of antioxidant supplementation for pain relief in patients with chronic pancreatitis. Gastroenterology (2009) 136(1):149-159 e142.
    • (2009) Gastroenterology , vol.136 , Issue.1
    • Bhardwaj, P.1    Garg, P.K.2    Maulik, S.K.3
  • 50
    • 33846983911 scopus 로고    scopus 로고
    • Endoscopic versus surgical drainage of the pancreatic duct in chronic pancreatitis
    • Cahen DL, Gouma DJ, Nio Y, et al.: Endoscopic versus surgical drainage of the pancreatic duct in chronic pancreatitis. N Engl J Med (2007) 356(7):676-684.
    • (2007) N Engl J Med , vol.356 , Issue.7 , pp. 676-684
    • Cahen, D.L.1    Gouma, D.J.2    Nio, Y.3
  • 52
    • 53049105239 scopus 로고    scopus 로고
    • Clinical outcomes and nonendoscopic interventions after minor papilla endotherapy in patients with symptomatic pancreas divisum
    • The authors report that minor papilla endotherapy of patients with PD results in a clinical response or improvement in 76% with IRAP, but only 42% of those with chronic pancreatitis and 33% with chronic abdominal pain. The authors conclude that endoscopic therapy is a reasonable first step in the absence of chronic pain, but also acknowledge that short-term follow-up may be inadequate to assess response in some patients with IRAP who have long pain-free intervals and/or develop chronic pain
    • Chacko LN, Chen YK, Shah RJ: Clinical outcomes and nonendoscopic interventions after minor papilla endotherapy in patients with symptomatic pancreas divisum. Gastrointest Endosc (2008) 68(4):667-673. The authors report that minor papilla endotherapy of patients with PD results in a clinical response or improvement in 76% with IRAP, but only 42% of those with chronic pancreatitis and 33% with chronic abdominal pain. The authors conclude that endoscopic therapy is a reasonable first step in the absence of chronic pain, but also acknowledge that short-term follow-up may be inadequate to assess response in some patients with IRAP who have long pain-free intervals and/or develop chronic pain.
    • (2008) Gastrointest Endosc , vol.68 , Issue.4 , pp. 667-673
    • Chacko, L.N.1    Chen, Y.K.2    Shah, R.J.3
  • 53
    • 53049104469 scopus 로고    scopus 로고
    • Minor papilla endotherapy in patients with symptomatic pancreas divisum
    • Ahmed F, Sherman S: Minor papilla endotherapy in patients with symptomatic pancreas divisum. Gastrointest Endosc (2008) 68 (4):674-675.
    • (2008) Gastrointest Endosc , vol.68 , Issue.4 , pp. 674-675
    • Ahmed, F.1    Sherman, S.2
  • 54
    • 40149086024 scopus 로고    scopus 로고
    • Pancreatic ductal system obstruction and acute recurrent pancreatitis
    • DOI 10.3748/wjg.14.1027
    • Delhaye M, Matos C, Arvanitakis M, Deviere J: Pancreatic ductal system obstruction and acute recurrent pancreatitis. World J Gastroenterol (2008) 14(7):1027-1033. (Pubitemid 351325001)
    • (2008) World Journal of Gastroenterology , vol.14 , Issue.7 , pp. 1027-1033
    • Delhaye, M.1    Matos, C.2    Arvanitakis, M.3    Deviere, J.4
  • 55
    • 0024348993 scopus 로고
    • Pancreatic duct dilatation after secretin stimulation in patients with pancreas divisum
    • Lowes JR, Lees WR, Cotton PB: Pancreatic duct dilatation after secretin stimulation in patients with pancreas divisum. Pancreas (1989) 4(3):371-374. (Pubitemid 19140840)
    • (1989) Pancreas , vol.4 , Issue.3 , pp. 371-374
    • Lowes, J.R.1    Lees, W.R.2    Cotton, P.B.3
  • 56
    • 65549116791 scopus 로고    scopus 로고
    • Pancreas divisum: A cause of idiopathic acute pancreatitis
    • Ng WK, Tarabain O: Pancreas divisum: a cause of idiopathic acute pancreatitis. CMAJ (2009) 180(9):949-951.
    • (2009) CMAJ , vol.180 , Issue.9 , pp. 949-951
    • Ng, W.K.1    Tarabain, O.2


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.