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Pancreatic Divisum

Our Pancreatic Divisum Diagnosis and treatment center, GastroDoxs in Anaheim, is an unmatched combination of large-scale imaging and specialized care, which reduces the symptoms and enhances the functioning of the pancreas to help patients throughout Orange County and provide them with the highest level of professional and humane care, depending on their unique needs in terms of digestive health.

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Bharat Pothuri
Symptoms

What is Pancreatic Divisum?

Pancreatic Divisum is an inborn disorder whereby the two principal ducts of the pancreas never meet during the fetal development resulting in separate channels of drainage. The ducts empty into the small intestine before they pass through the duct in most individuals, whereas in Pancreatic Divisum they are independent of one another. This anatomical anomaly is both normally benign and is most commonly found incidentally during imaging examination, e.g. MRCP or CT scanning, but can be associated with occasionally obstructed pancreatic drainage and pancreatitis.

Common Symptoms

The majority of Pancreatic Divisum do not show any symptoms. Among the possible problems that arise, there may be:

  • Diocardial pain or general abdominal pain above the abdominal region.
  • Bloating or indigestion.
  • Repeated incidences of pancreatitis.
  • Stools which are greasy and fatty (steatorrhea) or unwanted weight loss.

Causes

Pancreatic Divisum is inborn and is caused by an anomaly that the pancreas undergoes during formative stages. Key factors include:

  • Failure of the dorsal and ventral pancreatic ducts to fuse in utero
  • Potential genetic susceptibility
  • Infrequent relationship related to other anomalies, e.g. annular pancreas
  • Majority of them have no symptoms unless the duct drainage is severely affected
Treatment

Treatment Options for Pancreatic Divisum

The therapies comprise change of lifestyle, endoscopic therapy, and medical management:

  • Endoscopic therapy (ERCP): Opening up the minor duct or introducing stents to enhance the passage of the pancresource of pancreatic secretions and to decrease pancreatitis attacks.
  • Pain management: Analgesics (prescribed), pancreatic enzyme supplements and dietary modifications on the management of chronic pain in the abdomen.
  • Dietary changes:Low-fat diet, small frequent meals and sufficient hydration to reduce the workload of the pancreas.
  • Pancreatic enzyme supplementation: Consuming porn-capsules with food to promote the digestive process and eliminate fatty bowel movements (steatorrhea).
  • Surgical intervention: One is used in case of severe or refractory condition, that is, sphincteroplasty or ductal surgery to facilitate flow of the duct.
  • Regular monitoring: By monitoring, regular imaging (MRCP, CT) and blood-monitored to analyze pancreatic functioning and change therapy accordingly.
  • Lifestyle modifications: Not taking alcohol and smoking, otherwise reducing the chances of frequent pancreatitis.

Book Your Appointment Today

When you have pancreatic divisum that is making you uncomfortable or having frequent pancreatitis, you should not wait, our board-certified GastroDoxs specialists will be there to assist. Our services provide illegal MRCP/ERCP imaging, customized endoscopic treatment, customized nutrition advice, and careful care to ensure that you are back to our side feeling your best.
Call now: 1-800-GASTRODX or book online to schedule your consultation.

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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

How common is Pancreatic Divisum?

Pancreatic Divisum is seen in approximately 5-10 percent of the population, hence it is one of the most common natural occurrence of pancreatic duct anatomy variants.

Do all people with Pancreatic Divisum need treatment?

No. The majority of the people do not have any symptoms and do not need treatment. The only case when treatment is advised is when the patient is experiencing pain or develops recurrent pancreatitis.

How is Pancreatic Divisum diagnosed?

Diagnosis is done with the imaging tests like MRCP ( Magnetic Resonance Cholangiopancreatography ), CT scan, or ERP which produce clear images that can be used to diagnose the ductal separation.

Is Pancreatic Divisum different in adults versus children?

The anatomy is ductal, although, in adults, one can be more likely of developing such symptoms as pancreatitis or chronic abdominal pain over time than in children.

Can Pancreatic Divisum be cured?

The duct configuration cannot be changed such that some cure can be provided. Nevertheless, endoscopic therapy, medications, dietary alteration, and some rare instances of surgery can manage the symptoms.

Are there risks associated with ERCP?

Yes. ERCP is associated with risk factors like post procedure pancreatitis, infection, bleeding and perforation. Whenever carried out by trained experts, these risks are reduced to very minimal values.

What diet helps manage Pancreatic Divisum?

Small and frequent meals, sufficient hydration and (when medical professionals prescribe it) pancreatic enzyme supplements may assist in a low-fat diet and alleviate symptoms and digestion issues.

Can Pancreatic Divisum occur with annular pancreas?

Yes. Pancreatic Divisum does not occur frequently but may occur in patients having an annular pancreas, which may result in aggravated ductal obstruction and risk of pancreatitis.

When should I see a specialist for Pancreatic Divisum?

Contact a gastroenterologist in case you have recurring upper abdominal pains, intermittent cases of pancreatitis in the absence of an identifiable cause or persistent digestive disorders even after conventional treatment.

How do I find a Pancreatic Divisum specialist?

To be referred to board-certified pancreatic specialists, you can contact GastroDoxs, or ask your primary care physician to offer his or her suggestions in your locality.

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