Revista de Gastroenterología del Perú
versión impresa ISSN 1022-5129
ARTIFON, Everson L. A.; FRAZAO, Mariana S. V.; COELHO FERREIRA, Flávio y PINHATA OTOCH, José. A novel endoscopic treatment of pancreas divisum. Rev. gastroenterol. Perú [online]. 2012, vol.32, n.2, pp. 184-186. ISSN 1022-5129.
Pancreas divisum is the most common congenital malformation of the pancreas that results from the non-fusion or incomplete fusion of the ventral and dorsal portions of the embryonic pancreas. It is found in 7% of autopsy studies (range 1-14%) and is generally asymptomatic. 5% of the patients have symptoms, which are basically cases of abdominal pain and recurrent pancreatitis. We report the case of a woman of 51y, postcholecystectomy with 2 episodes of pancreatitis with imaging from magnetic resonance of pancreatic divisum with communication between the dorsal and ventral pancreas. We proceeded by endoscopy (ERCP) to dilate the major duct, and then made a minor duct papillotomy and made a hydropneumatic ball dilatation with the catheter balloon up the waist portion. The procedure was successful with 9 months of follow up.
Palabras llave : Pancreas divisum; endoscopic retrograde cholangiopancreatography; endoscopic therapy.