Accessory sphincterotomy (endoscopic and surgical) in patients with pancreas divisum

Br J Surg. 1984 Dec;71(12):954-7. doi: 10.1002/bjs.1800711214.


Sixteen patients with the congenital anomaly of pancreas divisum have been treated by enlarging the orifice of the accessory papilla. Attempts to do this at duodenoscopy succeeded in only 5 of 12 patients, and only one had a good clinical result. Sphincteroplasty was performed surgically in seven patients; five had a good or fair result. Most patients with poor results have undergone pancreatic resection. One patient died post-operatively; the remaining 15 divide equally as good (5), fair (5) and poor (5) results at follow-up after periods ranging from 7 months to 5 years. Results appear to be better in patients presenting with recurrent attacks of acute pancreatitis than in those with chronic pain. The preferred management for these patients remains unclear.

MeSH terms

  • Acute Disease
  • Adolescent
  • Adult
  • Chronic Disease
  • Duodenoscopy
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pain / etiology
  • Pancreas / abnormalities*
  • Pancreatic Ducts / surgery*
  • Pancreatitis / etiology
  • Recurrence