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Endoscopic Minor Papilla Balloon Dilation for the Treatment of Symptomatic Pancreas Divisum
- Source :
- Pancreas. 43:927-930
- Publication Year :
- 2014
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2014.
-
Abstract
- A subpopulation of patients with pancreas divisum experience symptomatic events such as recurrent acute pancreatitis and chronic pancreatitis. Minor papilla sphincterotomy has been reported as being an effective treatment. The aim of this study was to evaluate the safety and efficacy of endoscopic balloon dilation for the minor papilla.Between 2000 and 2012, 16 patients were retrospectively included in this study. After endoscopic balloon dilation for the minor papilla was received, a pancreatic stent or a nasal pancreatic drainage catheter was placed for 1 week. If a stricture or obstruction was evident, it was treated with balloon dilation followed by long-term stent placement (1 year). When an outflow of pancreatic juice was disturbed by a pancreatic stone, endoscopic stone extraction was performed.Balloon dilation and stent placement were achieved and were successful in all the cases (16/16; 100%). Clinical improvement was achieved in 7 (84.7%) of the 9 patients with recurrent acute pancreatitis and in 6 (85.7%) of the 7 patients with chronic pancreatitis. Early complications were observed in 1 (6.3%) patient. Pancreatitis or bleeding related to balloon dilation was not observed.Endoscopic balloon dilation for the minor papilla is feasible for the management of symptomatic pancreas divisum.
- Subjects :
- Adult
Male
medicine.medical_specialty
Endocrinology, Diabetes and Metabolism
Recurrent acute pancreatitis
Catheterization
Sphincterotomy, Endoscopic
Postoperative Complications
Endocrinology
Recurrence
Pancreatitis, Chronic
Internal Medicine
medicine
Humans
Effective treatment
Pancreas
Aged
Retrospective Studies
Pancreas divisum
Hepatology
business.industry
Pancreatic Ducts
Reproducibility of Results
Middle Aged
medicine.disease
Dilatation
Major duodenal papilla
Treatment Outcome
Pancreatitis
Acute Disease
Balloon dilation
Feasibility Studies
Female
Stents
Radiology
business
Subjects
Details
- ISSN :
- 08853177
- Volume :
- 43
- Database :
- OpenAIRE
- Journal :
- Pancreas
- Accession number :
- edsair.doi.dedup.....d3c38ec06a5e8cd5414b050b93fea9c0