6533b852fe1ef96bd12ab919

RESEARCH PRODUCT

Elevated Pressure in the Dorsal Part of Pancreas Divisum

K.-h. Meyer Zum BüschenfeldeM. Staritz

subject

AdultDorsummedicine.medical_specialtyManometryEndocrinology Diabetes and MetabolismGastroenterologyEndocrinologyInternal medicineInternal MedicinemedicineHumansIn patientPancreasPancreatic ductPancreas divisumHepatologybusiness.industryGeneral surgeryPancreatic Ductsmedicine.diseaseMajor duodenal papillamedicine.anatomical_structurePancreatitisUpper abdominal painChronic DiseasePancreatitisBile DuctsbusinessPancreas

description

Summary In 6 patients with upper abdominal pain of unknown origin presenting with pancreas divisum, the pressure in the pancreatic duct was measured via the minor papilla into which in these patients the main part of the pancreatic duct system drains. For comparison intraductal manometry via the major papilla (papilla of Vater) was performed in 8 patients with normal pancreatic duct system. The pressure in the pancreatic duct of the control group was 10.5 ± 0.9 mm Hg. whereas in the patients with pancreas divisum it was 23.7 ± 1.3 mm Hg. The results demonstrate that in patients with pancreas divisum, intraductal pressure may be largely increased even in the fasting state.

https://doi.org/10.1097/00006676-198802000-00019