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Pancreas Divisum and Pancreatitis

2012; OMICS Publishing Group; Volume: 02; Issue: 03 Linguagem: Inglês

10.4172/2165-7092.1000e123

2165-7092

Supot Pongprasobchai,

Intestinal Malrotation and Obstruction Disorders

One of the biggest controversies in Pancreatology is whether Pancreas Divisum (PD) is the cause for many pancreatic disorders including Recurrent Acute Pancreatitis (RAP), Idiopathic Chronic Pancreatitis (ICP), and recurrent “pancreatic-type” abdominal pain or in fact PD is an innocent bystander in a patient with ICP, who can present early as RAP, followed by pancreatic-type abdominal pain, and finally can present as a full-blown ICP [1]. Therefore, readers should have balanced views on this issue and appraise them carefully without (or the least) bias. In fact, the natural history of PD is difficult to follow since the diagnosis of PD is usually made after identifying the patients with pancreatic symptoms whereas asymptomatic PD patients are occasionally indentified by incidental discovery from the radiographic images.