Fusion and duplication variants of pancreatic duct system

Autor: Pier Giorgio Rabitti, S Di Gaeta, D'Anna L, Gianpiero Manes, Generoso Uomo, Marco Laccetti
Rok vydání: 1995
Předmět:
Zdroj: International Journal of Pancreatology. 17:23-28
ISSN: 1559-0739
1537-3649
DOI: 10.1007/bf02788355
Popis: The aim of this study was to assess the incidence of fusion and duplication variants of the pancreatic duct system and their clinical significance. A total of 650 endoscopic retrograde cholangiopancreatography were reviewed; 485 cases with satisfactory imaging of the pancreatic ducts were included in the study. Anatomic variants were observed in 48 patients (9.9%), fusion variants were 54.1% of the cases (22 pancreas divisum and 4 functional divisum), and duplication variants were 45.8% (13 bifurcations of the main pancreatic duct, 4 loop, 2N-shape, 3 ring). Clinical indications to endoscopic cholangiopancreatography were idiopathic acute pancreatitis (33.3%), suspected chronic pancreatitis (18.7%), unexplained abdominal pain (14.5%), suspected pancreatic mass (10.4%), chronic hyperamylasemia (6.2%), and acute biliary pancreatitis (16.6%). Except for acute biliary pancreatitis (significantly more frequent in duplication variants), no statistical difference was observed between the groups with anatomical variants concerning clinical features.
Databáze: OpenAIRE