Pancreatic divisum is a congenital condition in which the two ducts of the pancreas fail to fuse during fetal development. Instead of draining together through the main duct, the dorsal and ventral ducts remain separate. In most people this causes no symptoms, but in some it can impair pancreatic fluid flow and lead to inflammation or pain.
Many individuals with pancreatic divisum never notice any problems. When symptoms do occur, they may include:
Pancreatic divisum is present from birth. Key points about its origin:
At GastroDoxs, we combine advanced diagnostics and compassionate, patient-centered care to help you manage pancreatic divisum and related digestive issues. Our team of specialists will create a personalized treatment plan tailored to your needs-whether that means dietary guidance, medication management, endoscopic therapy, or surgery. Ready to take the first step toward lasting relief? Call us today or book your appointment online to schedule your consultation with our Pancreatic Divisum experts.
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Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.
Pancreatic Divisum is most commonly diagnosed using imaging studies such as MRCP (Magnetic Resonance Cholangiopancreatography), ERCP (Endoscopic Retrograde Cholangiopancreatography), or endoscopic ultrasound, which allow physicians to visualize the pancreatic ducts and identify any fusion abnormalities.
Incomplete divisum refers to a variation where the dorsal and ventral pancreatic ducts have a small residual connection. This allows some drainage through both ducts but may still predispose to higher ductal pressure and inflammation.
Pain from Pancreatic Divisum typically presents in the upper abdomen (epigastric region), just under the ribs, and often radiates to the back. It may worsen after eating, especially high-fat meals.
Yes. Adopting a low-fat diet with smaller, more frequent meals can reduce the workload on your pancreas, minimize ductal pressure, and help alleviate pain and digestive symptoms.
Pancreatic Divisum itself is not usually life-threatening. However, if it leads to recurrent or severe pancreatitis that goes untreated, complications can arise and require prompt medical attention.
Endoscopic therapy, such as ERCP with minor papilla sphincterotomy or stenting, is typically recommended for patients experiencing persistent pain or repeated episodes of mild to moderate pancreatitis despite dietary and medical management.
Most patients recover quickly after an ERCP procedure. Mild abdominal discomfort or bloating may persist for 1-2 days, but most people return to normal activities within 48-72 hours.
Yes. While Pancreatic Divisum is congenital, it is often diagnosed in teenagers or adults. In rare cases, children may develop symptoms that lead to early detection.
The ventral duct drains a smaller portion of the pancreas (the ventral lobe). In Pancreatic Divisum, it handles only part of the pancreatic juice, so if the dorsal duct is overloaded, pressure and inflammation can occur.
To consult with a Pancreatic Divisum expert, call GastroDoxs to schedule an appointment. Our local specialists offer advanced imaging, endoscopic care, and personalized treatment plans tailored to your needs.
