Contribution Of Retrograde Cholangiopancreatogaphy In The Treatment Of The Complications Of The Pancreas Divisum

Aims Pancreas divisum is the most common congenital malformation of the pancreas. It is secondary to the absence of fusion of the ventral duct and dorsal duct of the pancreas during the first weeks of embryogenesis. Retrograde cholangiopancreatogaphy (ERCP), previously used as a diagnostic tool, currently plays a role in the treatment of symptomatic forms. The aim of our study was to assess the efficacy of ERCP in the management of symptomatic pancreas divisum.

Methods This is a retrospective study that included all patients who had ERCP for symptomatic pancreas divisum in our department between 2014 and 2019.

Results Six patients were collected: Four men and two women. The average age was 43,5 years. Pancreas divisum was revealed in all patients by flare-ups of acute pancreatitis. These were recurrent in 3 cases. The accessory papilla could only be catheterized in 4 patients. It allowed the extraction of microlithiasis in three cases. A pigtail pancreatic stent was placed in another patient due to the presence of a 12 mm stone. No severe complications were noted in all patients.

Conclusions Despite the technical difficulties of ERCP in cases of symptomatic pancreas divisum, it remains the first-line therapeutic tool.

Citation Bradai S, Mahmoudi M, Khsiba A et al. eP348 CONTRIBUTION OF RETROGRADE CHOLANGIOPANCREATOGAPHY IN THE TREATMENT OF THE COMPLICATIONS OF THE PANCREAS DIVISUM. Endoscopy 2021; 53: S211.

Publication History

Article published online:
19 March 2021