A Case Report-Endoscopic Treatments of 47 Incomplete PancreaticDivisum (IPD) Cases in our Hospital – Special Emphasis on ourNew Procedures: Rendezvous Pre-Cut Method and Reverse BalloonDilation Method

Authors

  • TadaoTsuji Saitama Cooperative Hospital, Gastroenterology, Japan Author
  • H Shinozaki Saitama City Hospital,Gastroenterology, Japan Author
  • H Kaneda Saitama City Hospital,Gastroenterology, Japan Author
  • H Katsura Saitama City Hospital,Gastroenterology, Japan Author
  • T Mizutani Saitama City Hospital,Gastroenterology, Japan Author
  • K Miura Saitama City Hospital,Gastroenterology, Japan Author
  • M Katoh Saitama City Hospital,Gastroenterology, Japan Author
  • K Yamafuji Saitama City Hospital,Surgery, Japan Author
  • K Takeshima Saitama City Hospital,Surgery, Japan Author
  • N Okamoto Saitama City Hospital,Surgery, Japan Author
  • T Masuda Saitama Cooperative Hospital, Gastroenterology, Japan Author
  • M Ono Saitama Cooperative Hospital, Gastroenterology, Japan Author
  • G Sun Saitama Cooperative Hospital, Gastroenterology, Japan Author
  • A Sugiyama Saitama Cooperative Hospital, Gastroenterology, Japan Author
  • Y Amano Saitama Cooperative Hospital, Gastroenterology, Japan Author
  • S Mano Saitama Cooperative Hospital, Gastroenterology, Japan Author
  • T Shinobi Saitama Cooperative Hospital, Gastroenterology, Japan Author
  • H Tanaka Saitama Cooperative Hospital, Gastroenterology, Japan Author
  • M.Kubochi Saitama Cooperative Hospital, Gastroenterology, Japan Author
  • Ohishi Saitama Cooperative Hospital, Gastroenterology, Japan Author
  • Y Moriya Saitama Cooperative Hospital, Gastroenterology, Japan Author
  • S Nyuhzuki Kaetsu Hospital, Gastroenterology, Japan Author

DOI:

https://doi.org/10.47363/JGHR/2021(2)115

Keywords:

Incomplete Pancreatic Divisum (IPD), Pancreas Divisum, Reverse Balloon Dilation Method

Abstract

We have treated 47 cases of incomplete pancreatic divisum (IPD) in theses 7 years. They were classified by the modified“Hirooka’s classification”— stenotic fusion type I / II, ansa pancreatica type, branch fusion type I / II / III, and one was unclassified. 36 cases were treated by ESWL and/or endoscopy. In difficult cases, we performed our new endoscopic procedures-rendezvous precut method and reverse balloon dilation method, with good results. The therapeutic success rate of IPD via major papilla was 100% (10/10) and via minor papilla 96% (24/25) without severe complications. After endoscopic treatment, the prognosis was good in 32, fair in 3 and one had an operation. In calcified IPD cases, endoscopic treatments were performed many times by stone and pain relapse, and EPS is still placed in 24 cases. 

Author Biographies

  • TadaoTsuji, Saitama Cooperative Hospital, Gastroenterology, Japan

    Saitama Cooperative Hospital, Gastroenterology, Japan 

  • H Shinozaki, Saitama City Hospital,Gastroenterology, Japan

    Saitama City Hospital,Gastroenterology, Japan

  • H Kaneda, Saitama City Hospital,Gastroenterology, Japan


    Saitama City Hospital,Gastroenterology, Japan

  • H Katsura, Saitama City Hospital,Gastroenterology, Japan

    Saitama City Hospital,Gastroenterology, Japan

  • T Mizutani, Saitama City Hospital,Gastroenterology, Japan

    Saitama City Hospital,Gastroenterology, Japan

  • K Miura, Saitama City Hospital,Gastroenterology, Japan

    Saitama City Hospital,Gastroenterology, Japan

  • M Katoh, Saitama City Hospital,Gastroenterology, Japan

    Saitama City Hospital,Gastroenterology, Japan

  • K Yamafuji, Saitama City Hospital,Surgery, Japan


    Saitama City Hospital,Surgery, Japan

  • K Takeshima, Saitama City Hospital,Surgery, Japan

    Saitama City Hospital,Surgery, Japan

  • N Okamoto, Saitama City Hospital,Surgery, Japan


    Saitama City Hospital,Surgery, Japan

  • T Masuda, Saitama Cooperative Hospital, Gastroenterology, Japan

    Saitama Cooperative Hospital, Gastroenterology, Japan

  • M Ono, Saitama Cooperative Hospital, Gastroenterology, Japan

    Saitama Cooperative Hospital, Gastroenterology, Japan 

  • G Sun, Saitama Cooperative Hospital, Gastroenterology, Japan


    Saitama Cooperative Hospital, Gastroenterology, Japan  

  • A Sugiyama, Saitama Cooperative Hospital, Gastroenterology, Japan

    Saitama Cooperative Hospital, Gastroenterology, Japan 

  • Y Amano, Saitama Cooperative Hospital, Gastroenterology, Japan

    Saitama Cooperative Hospital, Gastroenterology, Japan

  • S Mano, Saitama Cooperative Hospital, Gastroenterology, Japan

    Saitama Cooperative Hospital, Gastroenterology, Japan

  • T Shinobi, Saitama Cooperative Hospital, Gastroenterology, Japan

    Saitama Cooperative Hospital, Gastroenterology, Japan

  • H Tanaka, Saitama Cooperative Hospital, Gastroenterology, Japan

    Saitama Cooperative Hospital, Gastroenterology, Japan

  • M.Kubochi, Saitama Cooperative Hospital, Gastroenterology, Japan

    Saitama Cooperative Hospital, Gastroenterology, Japan

  • Ohishi, Saitama Cooperative Hospital, Gastroenterology, Japan

    Saitama Cooperative Hospital, Gastroenterology, Japan

  • Y Moriya, Saitama Cooperative Hospital, Gastroenterology, Japan

    Saitama Cooperative Hospital, Gastroenterology, Japan  

  • S Nyuhzuki, Kaetsu Hospital, Gastroenterology, Japan

    Kaetsu Hospital, Gastroenterology, Japan

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Published

2021-06-06

Issue

Vol. 2 No. 2 (2021): Volume 2 Issue 2

Section

Articles