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Pancreatic Divisum

Pancreatic divisum is a common congenital pancreatic duct anomaly usually asymptomatic but occasionally causing pain or pancreatitis. At GastroDoxs in Houston, board-certified specialist Dr. Bharat Pothuri employs advanced diagnostics and personalized treatments-from diet modification to endoscopic procedures-to manage symptoms effectively.

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Harris County Medical Society
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Bharat Pothuri

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. 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.

What Is Pancreatic Divisum?

  • A congenital anomaly in which the two pancreatic ducts fail to fuse properly.
  • Most people are asymptomatic, but it can cause abdominal pain or recurrent pancreatitis.
  • Identified in medical records by the code Q45.7.

Common Causes and Risk Factors

  • Birth defect of pancreatic duct fusion
  • Family history of pancreatic or biliary disorders
  • Coexisting gallstones or bile-duct disease
  • Other congenital anomalies of the digestive tract

Signs and Symptoms

  • Often none, especially in mild cases
  • Upper abdominal pain, particularly after meals
  • Recurrent episodes of pancreatitis
  • Nausea and vomiting during flare-ups
  • Unexplained weight loss over time

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.

Bharat Pothuri
Treatment

Our Team offers a full range of care for pancreatic divisum.

1. Lifestyle and Diet Modifications

  • Low-fat diet to reduce stress on the pancreas
  • Smaller, more frequent meals to aid digestion
  • Hydration guidance to keep pancreatic enzymes flowing
  • Advice on avoiding alcohol and tobacco to prevent flare-ups

2. Medications

  • Pancreatic enzyme supplements to support nutrient absorption
  • Pain relievers during acute episodes of pancreatitis
  • Acid blockers to protect the pancreas from stomach acid

3. Minimally Invasive or Advanced Procedures

  • Endoscopic sphincterotomy to open the pancreatic duct
  • Temporary stent placement for improved ductal drainage
  • Lithotripsy to break up ductal stones when present
1K

Patients Treated

Dr. Pothuri has treated more than 1K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

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.

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.

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