Pancreas DivisumObservation, Endoscopic Drainage, and Surgical Treatment Results in 65 Patients
作者:
Jerome Siegel,
Avram Cooperman,
William Pullano,
Hillel Hammerman,
期刊:
Surgical Laparoscopy and Endoscopy
(OVID Available online 1993)
卷期:
Volume 3,
issue 4
页码: 281-285
ISSN:1051-7200
年代: 1993
出版商: OVID
关键词: Pancreas divisum;Surgical decompression;Radiologic tests
数据来源: OVID
摘要:
SummarySixty-five patients with symptomatic pancreas divisum were treated by endostents, surgery, or observation. In 35 patients, endoscopic stenting either alone (20) or followed by surgery (15) was the primary therapy. Of 30 patients not stented, 10 underwent elective surgery and 20 were followed. Treatment was based on symptoms and biochemical and radiologic tests. The results of surgical decompression correlated favorably with endoscopic drainage. In untreated patients, the natural history of pancreas divisum was benign. Surgery is safe and effective in symptomatic patients, although multiple operations may be required for recurrent symptoms or progressive disease.
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