Saitama City Hospital, Gastroenterology, Japan
Research
62 Cases of Incomplete Pancreatic Divisum (IPD)â?? the Usefulness of MRCP Diagnosis and Safety of Endoscopic Treatments-Special Emphasis on our New Endoscopic Procedures-Rendezvous Pre-Cut Method and Reverse Balloon Dilation Method
Author(s): M Ono, S Nyuhzuki, N Okamoto, K Takeshima, K Yamafuji, M Katoh, K Miura, T Mizutani, H Katsura, H Kaneda, H Shinozaki, T Masuda, Tadao Tsuji*, S Yamamoto, H Kaihara, Y Moriya, K Ohishi, M Kubochi, H Tanaka, T Shinobi, S Mano, Y Amano, A Sugiyama and G Sun
We have experienced 62 cases of incomplete pancreatic divisum (IPD) over the past 9 years. This is 4.1% (62/1524) of naïve ERP cases during this period. Many classifications were reported in the literature. We classified them by modified “Hirooka’s classification” into stenotic fusion type1,2 (sf1, sf2), ansa pancreatica type and branch fusion type1,2,3 (bf1,2,3). 16 cases could be diagnosed by MRCP alone. 47 symptomatic cases were treated by ESWL and/or endoscopy, while 14 asymptomatic cases had no therapy, and 1 asymptomatic case was operated without medical treatment-tail pseudocyst resection. 80.. View More»
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