Khristenko E, Tjaden C, Klauß M
Klinik für Diagnostische & Interventionelle Radiologie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 420, 69120, Heidelberg, Deutschland.
Chirurgische Klinik, Universitätsklinikum Heidelberg, Heidelberg, Deutschland.
Radiologe. 2021 Jun;61(6):541-547. doi: 10.1007/s00117-021-00848-w. Epub 2021 May 3.
CLINICAL/METHODOLOGICAL ISSUE: Diagnostic and clinical relevance of pancreas divisum.
Ultrasonography (US), magnetic resonance cholangiopancreatography (MRCP), magnetic resonance imaging (MRI), computed tomography (CT), endoscopic retrograde cholangiopancreatography (ERCP).
Pancreas divisum is an anatomic variation of pancreatic duct system with an incidence in general population of about 10%. It can become symptomatic in approximately 5% of patients. MRI with MRCP is the method of choice to diagnose pancreas divisum.
MRCP is equal to ERCP in diagnosing pancreas divisum in routine clinical practice as it is noninvasive, offers the possibility to evaluate the adjacent tissues and has almost no contraindications.
It is important to be familiar with the anatomy of the pancreatic duct system in order to plan interventional procedures for symptomatic patients in due time.
临床/方法学问题：胰腺分裂症的诊断及临床相关性。
超声检查（US）、磁共振胰胆管造影（MRCP）、磁共振成像（MRI）、计算机断层扫描（CT）、内镜逆行胰胆管造影（ERCP）。
胰腺分裂症是胰管系统的一种解剖变异，在普通人群中的发生率约为10%。约5%的患者会出现症状。磁共振胰胆管造影的磁共振成像（MRI）是诊断胰腺分裂症的首选方法。
在常规临床实践中，磁共振胰胆管造影（MRCP）在诊断胰腺分裂症方面与内镜逆行胰胆管造影（ERCP）相当，因为它是非侵入性的，能够评估相邻组织，且几乎没有禁忌证。
熟悉胰管系统的解剖结构对于及时为有症状的患者规划介入手术非常重要。
