Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.
Pancreatic divisum is a congenital condition in which the two main ducts of the pancreas fail to fuse. Instead of draining together, they remain separate, which can obstruct enzyme flow into the small intestine. While it isn-t cancerous, divisum can trigger pain or recurrent pancreatitis (inflammation of the pancreas).
Dr. Chadha begins by reviewing your personal and family history of pancreatic issues, alcohol and smoking habits, and assessing abdominal tenderness or other physical signs.
Magnetic Resonance Cholangiopancreatography (MRCP) provides a clear map of the pancreatic ducts to spot any separation or blockage without radiation.
For detailed views, Dr. Chadha may perform an endoscopic ultrasound or ERCP (endoscopic retrograde cholangiopancreatography) to confirm divisum and evaluate enzyme flow through the minor papilla.
Once confirmed, the diagnosis is coded-most often Q45.8 (pancreatic divisum) or K86.1 if there are associated pancreatitis complications-to guide an individualized treatment plan.
Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.
It's a congenital condition where the two main pancreatic ducts fail to fuse, which can block enzyme flow and lead to pain or pancreatitis.
The primary ICD-10 code is Q45.8. If complications like chronic pancreatitis develop, K86.1 may also be used.
No. Pancreatic divisum is not cancer, but it can cause recurrent inflammation, pain, and digestive issues.
Through imaging tests such as MRCP (magnetic resonance cholangiopancreatography), endoscopic ultrasound, or ERCP (endoscopic retrograde cholangiopancreatography).
Common symptoms include upper abdominal pain after meals, repeated pancreatitis attacks, nausea, fatty (pale or greasy) stools, and unintended weight loss.
A low-fat diet can ease symptoms, but many patients also need medical therapies or endoscopic procedures for lasting relief.
Most patients experience significant improvement within a few days of endoscopic procedures like sphincterotomy or stent placement, though full recovery may vary.
Pancreatic divisum is a congenital (present at birth) ductal anomaly. A family history of pancreatic issues may increase risk, but it's not directly inherited.
If your pancreas isn-t producing enough digestive enzymes, Dr. Chadha will prescribe enzyme replacement therapy to improve nutrient absorption and reduce symptoms.
Call GastroDoxs in Houston or book online to schedule a consultation with Dr. Rishi Chadha and develop a personalized treatment plan.
