title: Pancreas Divisum.
abstract: OBJECTIVE
  To evaluate the complications, technical success, diagnostic evaluation and various endoscopic management options in patients with pancreas divisum.
  
  
  METHODS
  Descriptive study.
  
  
  METHODS
  Endoscopy Suite, Surgical Unit 4, Civil Hospital, Karachi, from January 2007 to December 2013.
  
  
  METHODS
  All Endoscopic Retrograde Cholangio-pancreatography (ERCPs) procedure performed in patients with pancreas divisum were analyzed. Success was defined as having authentic diagnostic information or a successful endoscopic therapy for the condition.
  
  
  RESULTS
  During the study period, 3600 patients underwent 4500 ERCPprocedures. Pancreas divisum was found in 17 patients (0.47%); 7 ERCPs (41.2%) were performed for diagnostic and 10 (58.8%) for therapeutic purposes. Sixteen (94.1%) had complete PD and one (5.9%) had incomplete PD. Male and Female ratio was 1:1.83 with a mean age of 26.3 years and median symptom duration of 11 months. Atotal of 23 procedures were performed in 17 patients; 2 had ERCP done thrice, 2 underwent the procedure twice, while the rest had single procedure done. Six (35.3%) patients had chronic pancreatitis, 7 (41.2%) had acute recurrent pancreatitis and 4 (23.5%) had acute pancreatitis. Endoscopic minor papillotomy was performed. There was no procedure-related mortality. ERCPaffected management in 88.2% (15/17 procedures).
  
  
  CONCLUSIONS
  ERCPis a safe and feasible procedure for pancreas divisum patients.
authors.affiliation: Department of Gastroenterology, The Indus Hospital, Karachi.
authors.forename: Muhammad Ali
authors.initials: MA
authors.lastname: Taj
authors.affiliation: Department of Surgery, Dow University Health Sciences and Civil Hospital, Karachi.
authors.forename: Sajida
authors.initials: S
authors.lastname: Qureshi
authors.affiliation: Department of Surgery, Dow University Health Sciences and Civil Hospital, Karachi.
authors.forename: Shahriyar
authors.initials: S
authors.lastname: Ghazanfar
authors.affiliation: Department of Gastroenterology, Patel Hospital, Karachi.
authors.forename: Arif Rasheed
authors.initials: AR
authors.lastname: Siddiqui
authors.affiliation: Department of Gastroenterology, The Indus Hospital, Karachi.
authors.forename: Saad Khalid
authors.initials: SK
authors.lastname: Niaz
authors.affiliation: Department of Surgery, Dow University Health Sciences and Civil Hospital, Karachi.
authors.forename: M Saeed
authors.initials: MS
authors.lastname: Quraishy
authors.affiliation: Department of Emergency, The Indus Hospital, Karachi.
authors.forename: Muhammad
authors.initials: M
authors.lastname: Shahid
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D000368:Aged; D002760:Cholangiopancreatography, Endoscopic Retrograde; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010179:Pancreas / Q000002:abnormalities* / Q000601:surgery*; D019283:Pancreatitis, Acute Necrotizing / Q000209:etiology / Q000601:surgery; D050500:Pancreatitis, Chronic; D011183:Postoperative Complications; D016717:Sphincterotomy, Endoscopic; D016896:Treatment Outcome