Landoni N, Chopita N, Jmelnitzky A
Servicio de Gastroenterología H.I.G.A. Gral. San Martín, La Plata, Argentina.
Acta Gastroenterol Latinoam. 1996;26(4):243-6.
The pancreas divisum is the most frequent congenital anomaly of the pancreas. It is caused by the absence of fusion in the dorsal and ventral pancreatic buds, so that most of the gland drains through the Santorini duct in the minor papilla. It has been suggested that the relative obstruction of the pancreatic pain and pancreatitis in these patients. According to this the treatment consists in facilitating the minor papilla drainage via surgery or endoscopy. Two endoscopic treatment cases are presented. In both pancreatic duct stent and further sphinterotomy were performed. This treatment and their follow-up are evaluated, coming to the conclusion that this method should be taken into account in the future, due to its viability and low morbimortality.
胰腺分裂是胰腺最常见的先天性异常。它是由背侧和腹侧胰芽未融合引起的，因此大部分胰腺通过小乳头的Santorini导管引流。有人认为这些患者存在胰腺疼痛和胰腺炎的相对梗阻。据此，治疗方法包括通过手术或内镜促进小乳头引流。本文介绍了两例内镜治疗病例。两例均进行了胰管支架置入及进一步的括约肌切开术。对该治疗方法及其随访情况进行了评估，得出结论：由于其可行性和低死亡率，该方法在未来应予以考虑。
