Published in:
01-08-2023 | Pancreatectomy | ASO Author Reflections
ASO Author Reflections: Preoperative Endoscopic Minor Papilla Sphincterotomy May Effectively Prevent Pancreatic Fistula After Distal Pancreatectomy in Patients with Pancreas Divisum
Authors:
Kazuyuki Nagai, MD, PhD, Toshihiko Masui, MD, PhD, Takayuki Anazawa, MD, PhD, Kei Yamane, MD, PhD, Yosuke Kasai, MD, PhD, Yoichiro Uchida, MD, PhD, Takashi Ito, MD, PhD, Takamichi Ishii, MD, PhD, Etsuro Hatano, MD, PhD
Published in:
Annals of Surgical Oncology
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Issue 12/2023
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Excerpt
In pancreas divisum (PD), a congenital anomaly resulting from the failure of fusion of the dorsal and ventral pancreatic ductal systems, pancreatic juice drains mainly through the minor papilla via the dorsal duct, leading to high intraductal pressure, causing pancreatitis.
1‐4 Endoscopic minor papilla sphincterotomy (EMPS) is a treatment option for recurrent acute and chronic pancreatitis in patients with PD.
2‐4 Few reports exist regarding the relationship between pancreatitis or pancreatic fistula after distal pancreatectomy and PD; however, high intraductal pressure in the dorsal duct may increase the risk of those complications. …
