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Fusion and duplication variants of pancreatic duct system. Clinical and pancreatographic evaluation.
- Source :
-
International journal of pancreatology : official journal of the International Association of Pancreatology [Int J Pancreatol] 1995 Feb; Vol. 17 (1), pp. 23-8. - Publication Year :
- 1995
-
Abstract
- The aim of this study was to assess the incidence of fusion and duplication variants of the pancreatic duct system and their clinical significance. A total of 650 endoscopic retrograde cholangiopancreatography were reviewed; 485 cases with satisfactory imaging of the pancreatic ducts were included in the study. Anatomic variants were observed in 48 patients (9.9%), fusion variants were 54.1% of the cases (22 pancreas divisum and 4 functional divisum), and duplication variants were 45.8% (13 bifurcations of the main pancreatic duct, 4 loop, 2N-shape, 3 ring). Clinical indications to endoscopic cholangiopancreatography were idiopathic acute pancreatitis (33.3%), suspected chronic pancreatitis (18.7%), unexplained abdominal pain (14.5%), suspected pancreatic mass (10.4%), chronic hyperamylasemia (6.2%), and acute biliary pancreatitis (16.6%). Except for acute biliary pancreatitis (significantly more frequent in duplication variants), no statistical difference was observed between the groups with anatomical variants concerning clinical features.
Details
- Language :
- English
- ISSN :
- 0169-4197
- Volume :
- 17
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- International journal of pancreatology : official journal of the International Association of Pancreatology
- Publication Type :
- Academic Journal
- Accession number :
- 8568331
- Full Text :
- https://doi.org/10.1007/BF02788355