Pancreas divisum occurs when the embryological ventral and dorsal parts of the pancreas fail to fuse, so that pancreatic drainage is mainly through the accessory papilla. In 169 patients with primary biliary tract disease who underwent pancreatography incidental to endoscopic cholangiography, the incidence of pancreas divisum was 3.6%. Among 78 patients with unexplained recurrent pancreatitis, the incidence was 25.6%. The hypothesis that the duct anomaly can cause obstructive pain and pancreatitis is presented, and supported by a detailed analysis of 47 patients with the condition.

https://gut.bmj.com/content/gutjnl/21/2/105.full.pdf

Congenital anomaly of pancreas divisum as cause of obstructive pain and pancreatitis.

Pancreatic stenting prevents pancreatitis after biliary sphincterotomy in patients with sphincter of Oddi dysfunction

https://www.gastrojournal.org/article/0016-5085(85)90193-3/pdf

Pancreas divisum: congenital anatomic variant or anomaly? Contribution of endoscopic retrograde dorsal pancreatography

https://www.gastrojournal.org/article/0016-5085(86)90571-8/pdf

Human duodenal mucosal bicarbonate secretion. Evidence for basal secretion and stimulation by hydrochloric acid and a synthetic prostaglandin E1 analogue.

Prior Jt

Papers

A study of the pancreatic duct system in man by the use of vinyl acetate casts of postmortem preparations.