Blair A J, Russell C G, Cotton P B
Ann Surg. 1984 Nov;200(5):590-4. doi: 10.1097/00000658-198411000-00006.
Pancreas divisum is an anatomic duct variant, which may predispose to pancreatitis. Most patients are managed conservatively, but some patients justify attempts to improve drainage. The correct surgical approach is not yet established, and there has been no series published concerning pancreatic resection in this context. A 6-year experience with resection performed in 14 patients with severe pain is reported. There were no operative deaths, and 11 patients had good pain relief; steatorrhea developed in two patients and diabetes in one. The hypothesis that pancreas divisum may cause pancreatitis is supported by examination of resection specimens after pancreaticoduodenectomy; the dorsal part showed chronic pancreatitis and the ventral portion was normal.
胰腺分裂是一种解剖学上的导管变异，可能易引发胰腺炎。大多数患者采用保守治疗，但部分患者有必要尝试改善引流。目前尚未确立正确的手术方法，且在此背景下尚无关于胰腺切除术的系列报道。本文报告了对14例剧痛患者进行切除术的6年经验。无手术死亡病例，11例患者疼痛得到良好缓解；2例患者出现脂肪泻，1例患者出现糖尿病。胰十二指肠切除术后对切除标本的检查支持了胰腺分裂可能导致胰腺炎的假说；背侧部分显示为慢性胰腺炎，腹侧部分正常。
