Endoscopic Intervention through Endoscopic Retrograde Cholangiopancreatography in the Management of Symptomatic Pancreas Divisum: A Long-Term Follow-Up Study

Gut and Liver
Yi LuBiao Gong

Abstract

To evaluate the efficacy and safety of endoscopic retrograde cholangiopancreatography (ERCP) for the treatment of symptomatic pancreas divisum (PD) and to discuss whether ERCP procedures and outcomes in younger patients differ from those of adults. Symptomatic patients with PD were included in the study and divided into underaged (age ≤17 years) and adult (age ≥18 years) group. The clinical information of each patient was reviewed, and then the patients were contacted by telephone or their medical records were reviewed to determine their long-term followup outcomes. A total of 141 procedures were performed in 82 patients (17 underaged and 65 adult patients). The ERCP indications included abdominal pain (39.02%), pancreatitis (12.20%), recurrent pancreatitis (36.59%), and other discomfort (12.20%). The endoscopic interventions included endoscopic pancreatic sphincterotomy in 44.68% of the patients, bouginage in 26.95%, pancreatic ductal stone extraction in 19.15%, endoscopic nasopancreatic drainage in 21.99%, and endoscopic retrograde pancreatic drainage in 56.74%. After a median follow-up of 41 months, the overall response rate was 62.32%. Between the underaged group and the adult group, significant differences were not observe...Continue Reading

References

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Citations

Apr 28, 2017·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Yong Hyeok ChoiSei Jin Youn
Oct 19, 2017·Pancreas·Abimbola AdikeFrancisco C Ramirez
Jun 23, 2020·Scandinavian Journal of Gastroenterology·Qian-Qian MengYu Bai
May 28, 2019·World Journal of Clinical Cases·Ahmed T ChatilaPraveen Guturu
May 5, 2021·Der Radiologe·E KhristenkoM Klauß
Dec 7, 2018·Romanian Journal of Internal Medicine = Revue Roumaine De Médecine Interne·Serghei Covantev

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