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Pancreatic Divisum

At GastroDoxs in Denver, our Pancreatic Divisum evaluation service offers specialized treatment for congenital pancreatic duct anomalies, providing comprehensive diagnostic imaging and personalized care here in Denver, ensuring you receive expert support within your local community with our experienced team.

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Bharat Pothuri
Symptoms

What Is Pancreatic Divisum?

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.

Common Symptoms

Many individuals with pancreatic divisum never notice any problems. When symptoms do occur, they may include:

  • Upper abdominal (belly) pain, often worse after eating
  • Nausea or vomiting
  • Episodes of pancreatitis (pancreatic inflammation)
  • Ongoing digestive discomfort or bloating

Causes

Pancreatic divisum is present from birth. Key points about its origin:

  • The pancreatic ducts simply don't fuse as they normally would in utero.
  • It is not related to diet, lifestyle, or alcohol use.
  • There is typically no strong hereditary link.
Treatment

Treatment Options for Pancreatic Divisum

Treatment includes endoscopic procedures, surgery, and lifestyle measures:

  • Endoscopic sphincterotomy: A minimally invasive ERCP-guided cut to open the minor papilla and improve pancreatic juice flow.
  • Stent placement: Insertion of a tiny tube during ERCP to keep the duct open and prevent fluid buildup.
  • ERCP (Endoscopic Retrograde Cholangiopancreatography): Combines imaging and treatment to locate blockages and address them immediately.
  • Surgical intervention: For persistent cases, procedures such as minor papilla enlargement or pancreaticojejunostomy may be performed.
  • Pain management: Pancreatic enzyme supplements and tailored pain relief medications to reduce discomfort and aid digestion.
  • Lifestyle modifications: Low-fat diet, adequate hydration, and avoidance of alcohol and tobacco to minimize pancreatitis episodes.

Book an Appointment Today

Don't wait for answers. At GastroDoxs, our Pancreatic Divisum specialists provide clear guidance, gentle care, and the latest treatments tailored to your needs. Whether you're experiencing abdominal discomfort or recurrent pancreatitis, we'll work with you to develop a personalized plan for relief and long-term health.

832-632-4070 or book your appointment online today. Your path to better digestive health starts here.

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Patients Treated

We've successfully treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

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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 in which the two pancreatic ducts (dorsal and ventral) fail to fuse during fetal development, resulting in separate drainage pathways.

Is pancreatic divisum hereditary?

Pancreatic divisum is usually not inherited. It's a birth defect that occurs spontaneously when the ducts don't fuse, and there's no clear genetic link in most cases.

Can pancreatic divisum lead to cancer?

There is no strong evidence linking pancreatic divisum directly to an increased risk of pancreatic cancer. Most people with this condition never develop cancer.

How is pancreatic divisum diagnosed?

Diagnosis typically involves imaging studies such as magnetic resonance cholangiopancreatography (MRCP), computed tomography (CT) scans, or endoscopic retrograde cholangiopancreatography (ERCP).

What types of pancreatic divisum does imaging show?

Imaging can reveal:

  • Complete divisum: the ducts remain fully separate
  • Incomplete divisum: the ducts are partially joined but still functionally separate

Can I live a normal life with pancreatic divisum?

Yes. Many people with pancreatic divisum are asymptomatic. Those with symptoms can often manage well with dietary changes, hydration, and regular monitoring.

When should I see a doctor about pancreatic divisum?

You should consult a gastroenterologist if you experience recurring upper abdominal pain, episodes of pancreatitis, nausea, or unexplained digestive discomfort.

Are treatments for pancreatic divisum safe?

Yes. Procedures like endoscopic stent placement, ductal dilation, and ERCP are generally safe when performed by experienced specialists, and complications are uncommon.

Will I need surgery for pancreatic divisum?

Surgery is rarely required. Most patients find relief through endoscopic procedures (such as opening the minor papilla or placing a stent). Surgery is reserved for cases unresponsive to less invasive treatments.

Where can I find a pancreatic divisum specialist?

Contact GastroDoxs. Our team offers advanced imaging, expert endoscopic care, and personalized treatment plans for pancreatic divisum near you.

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