Expert Treatment for Pancreatic Divisum by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Exam
He reviews your episodes of epigastric pain-when it started, what makes it better or worse-and asks about past bouts of pancreatitis and any family history of pancreatic disorders.
Blood Tests
We check pancreatic enzyme levels (amylase and lipase) and inflammatory markers to confirm or rule out pancreatitis.
Imaging Studies
- Magnetic Resonance Cholangiopancreatography (MRCP) offers a noninvasive, detailed view of the pancreatic ducts.
- CT Scan of the abdomen detects inflammation, stones, or structural abnormalities.
- Endoscopic Ultrasound (EUS) provides high-resolution images of the ductal system when further detail is needed.
Advanced Testing (if needed)
Endoscopic Retrograde Cholangiopancreatography (ERCP) can map duct anatomy precisely and allow for therapeutic maneuvers like sphincterotomy or stent placement.
Frequently Asked Questions
What is pancreatic divisum?
Pancreatic divisum is a congenital condition where two main pancreatic ducts fail to fuse properly, which can affect the flow of digestive enzymes.
What causes pancreatic divisum symptoms?
Symptoms arise when enzyme drainage is impaired, leading to inflammation. Factors such as gallstones, alcohol use, or family history of pancreatitis can trigger flare-ups.
Which test is best for diagnosing pancreatic divisum?
Magnetic resonance cholangiopancreatography (MRCP) is the preferred noninvasive test. CT scans or endoscopic ultrasound may also be used for detailed imaging.
Can I feel better without surgery?
Yes. Many patients find relief through a low-fat diet, pancreatic enzyme supplements, pain management, and avoiding alcohol and tobacco.
What endoscopic procedures treat pancreatic divisum?
An endoscopic sphincterotomy can open the duct, and a temporary stent may be placed to improve drainage. Lithotripsy may be used to break up any ductal stones.
How soon can I return to work after a procedure?
Most patients resume normal activities and return to work within a few days following an endoscopic intervention.