{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T01:36:10Z","timestamp":1780104970013,"version":"3.54.0"},"reference-count":52,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,1,24]],"date-time":"2013-01-24T00:00:00Z","timestamp":1358985600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Digest Diseases"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The aim of this study was to determine the diagnosis and endoscopic management of pancreas divisum with results from long\u2010term experience at our institution.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospectively collected database of all patients who underwent endoscopic retrograde cholangiopancreatography (<jats:styled-content style=\"fixed-case\">ERCP<\/jats:styled-content>) with the diagnosis of pancreas divisum at our institution from <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>anuary 2001 to <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>pril 2010 was retrospectively analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 45 patients were identified with pancreas divisum with 62 <jats:styled-content style=\"fixed-case\">ERCP<\/jats:styled-content> procedures. The major indication for <jats:styled-content style=\"fixed-case\">ERCP<\/jats:styled-content> included pancreatitis in 33 patients (73.3%), of whom 18 had idiopathic recurrent acute pancreatitis, 8 had recurrent pancreatic\u2010type pain and 7 had chronic pancreatitis. The median size of the incision of sphincterotomy was 5\u2009mm (range 3\u20138\u2009mm). In all 37 patients (82.2%) underwent placement of stent into the dorsal pancreatic duct, with a median stent size of 5 <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>r by 7\u2009cm (range 3\u201310 <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>r by 3\u201312\u2009cm). The overall response rate was 75.8%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The frequency of finding pancreas divisum during <jats:styled-content style=\"fixed-case\">ERCP<\/jats:styled-content> varies among institutions and is low compared with the autopsy series, given that many patients may remain asymptomatic or might not undergo <jats:styled-content style=\"fixed-case\">ERCP<\/jats:styled-content> even if the symptoms develop. Our study is the first to describe specific procedure\u2010related details during therapeutic endoscopy for pancreas divisum.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1751-2980.12004","type":"journal-article","created":{"date-parts":[[2012,10,25]],"date-time":"2012-10-25T13:51:11Z","timestamp":1351173071000},"page":"93-99","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Diagnosis and therapy of pancreas divisum by <scp>ERCP<\/scp>: A single center experience"],"prefix":"10.1111","volume":"14","author":[{"given":"Tarun","family":"Rustagi","sequence":"first","affiliation":[{"name":"Department of Internal Medicine University of Connecticut  Farmington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Golioto","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology Hartford Hospital  Hartford CT USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,1,24]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mpa.0000160280.56828.3f"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-006-0155-3"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1214505"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1067\/mge.2001.114784"},{"key":"e_1_2_5_6_1","first-page":"252","article-title":"Endoscopic ultrasound and pancreas divisum","volume":"13","author":"Rana SS","year":"2012","journal-title":"JOP"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-011-1823-7"},{"key":"e_1_2_5_8_1","doi-asserted-by":"crossref","first-page":"S108","DOI":"10.14309\/00000434-201210001-00251","article-title":"Magnetic resonance cholangiopancreatography in the diagnosis of pancreas divisum: a meta\u2010analysis of test performance","volume":"107","author":"Rustagi T","year":"2012","journal-title":"Am J Gastroenterol"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2004-825663"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2006.03.886"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.27.2.203"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.21.2.105"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(77)90429-9"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(76)73755-6"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1067\/mge.2002.124635"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1067\/mge.2000.108715"},{"key":"e_1_2_5_17_1","first-page":"306","article-title":"Clinical significance of pancreas divisum","volume":"55","author":"Delhaye M","year":"1992","journal-title":"Acta Gastroenterol Belg"},{"key":"e_1_2_5_18_1","first-page":"320","article-title":"Clinical significance of pancreas divisum","volume":"113","author":"B\u00fchler H","year":"1983","journal-title":"Schweiz Med Wochenschr"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/0016-5085(85)90667-5"},{"key":"e_1_2_5_20_1","doi-asserted-by":"crossref","first-page":"1104","DOI":"10.1016\/S0016-5085(81)80019-4","article-title":"Association of pancreas divisum and pancreatitis, and its treatment by sphincteroplasty of the accessory ampulla","volume":"81","author":"Richter JM","year":"1981","journal-title":"Gastroenterology"},{"key":"e_1_2_5_21_1","first-page":"622","article-title":"Treatment of pancreatitis associated with pancreas divisum by dorsal duct sphincterotomy alone","volume":"25","author":"Keith RG","year":"1982","journal-title":"Can J Surg"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198310000-00004"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006676-199005000-00002"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.1990.tb07496.x"},{"key":"e_1_2_5_25_1","first-page":"625","article-title":"Pancreas divisum, chronic pancreatitis and diabetes mellitus. 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