Pancreas divisum: A common developmental variant that deserves attention in preclinical medical education

2014 ◽  
Vol 27 (7) ◽  
pp. 1038-1045 ◽  
Author(s):  
Jessica J. White ◽  
Zoey N. Roberts ◽  
Thomas R. Gest ◽  
Elmus G. Beale
Keyword(s):  
Medical Education ◽  
Pancreas Divisum ◽  
Preclinical Medical Education ◽  
Pancréas Divisum ◽  
Developmental Variant

Radiologic Findings of Annular Pancreas Divisum: A Case Report

1996 ◽  
Vol 35 (2) ◽  
pp. 237
Author(s):  
Dong Sik Choi ◽  
Dong Ho Lee ◽  
Young Tae Ko ◽  
Tae Il Han ◽  
Youp Yoon ◽  
...  
Keyword(s):  
Case Report ◽  
Pancreas Divisum ◽  
Annular Pancreas ◽  
Radiologic Findings ◽  
Pancréas Divisum

scholarly journals Clinical outcome of endoscopic therapy in patients with symptomatic pancreas divisum: a Dutch cohort study

2021 ◽  
Vol 09 (07) ◽  
pp. E1164-E1170
Author(s):  
David M. de Jong ◽  
Pauline M. Stassen ◽  
Jan Werner Poley ◽  
Paul Fockens ◽  
Robin Timmer ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Cohort Study ◽  
Endoscopic Therapy ◽  
Clinical Success ◽  
Pancreas Divisum ◽  
Univariate Analysis ◽  
Clinical Success Rate ◽  
Recurrent Acute Pancreatitis ◽  
Pancréas Divisum

Abstract Background and study aims Although the majority of patients with pancreas divisum (PDiv) are asymptomatic, a subgroup present with recurrent pancreatitis or pain for which endoscopic therapy may be indicated. The aim of this study was to evaluate success rates and long-term outcomes of endoscopic treatment in patients with symptomatic PDiv. Patients and methods A multicenter, retrospective cohort study was performed. Patients with symptomatic PDiv presenting with recurrent acute pancreatitis (RAP), chronic pancreatitis (CP), or chronic abdominal pancreatic-type pain (CAP) who underwent endoscopic retrograde cholangiopancreatography (ERCP) between January 2000 and December 2019 were included. The primary outcome was clinical success, defined as either no recurrent episode of acute pancreatitis (AP) for RAP patients, no flares for CP patients, or absence of abdominal pain for patients with CAP after technically successful ERCP. Results In 60 of 81 patients (74.1 %) a technically successful papilla minor intervention was performed. Adverse events were reported in 30 patients (37 %), with post-ERCP pancreatitis in 18 patients. The clinical success rate for patients with at least 3 months of follow-up was 42.6 %, with higher rates of success among patients presenting with RAP (44.4 %) as compared to those with CP (33.3 %) or CAP (33.3 %). Long-term sustained response was present in 40.9 % of patients with a technically successful intervention. In patients with RAP who did not completely respond to treatment, the mean number of AP episodes after treatment decreased significantly from 3.5 to 1.1 per year, and subsequently the interval between AP episodes increased from 278 to 690 days (P = 0.0006). A potential predictive factor of failure of clinical success after technically successful ERCP, at univariate analysis, was male sex (OR = 0.25, P = 0.02). Conclusions Endoscopic therapy in patients with symptomatic PDiv is moderately effective, with its highest yield in patients presenting with RAP. Future studies are needed to assess factors predictive for success of endoscopic therapy and potential risk factors for relapse after ERCP.

scholarly journals Student Perceived Value of Anatomy Pedagogy, Part I: Prosection or Dissection?

2015 ◽  
Vol 2 ◽  
pp. JMECD.S17496 ◽  
Author(s):  
Jonathan J. Wisco ◽  
Stephanie Young ◽  
Paul Rabedeaux ◽  
Seth D. Lerner ◽  
Paul F. Wimmers ◽  
...  
Keyword(s):  
Medical Education ◽  
Medical School ◽  
Student Perceptions ◽  
Medical Curriculum ◽  
Clinical Skills ◽  
School Experience ◽  
First Year ◽  
Biomedical Sciences ◽  
Medical Specialties ◽  
Preclinical Medical Education

A series of three annual surveys of David Geffen School of Medicine (DGSOM) at UCLA students and UCR/UCLA Thomas Haider Program in Biomedical Sciences students were administered from 2010 to 2012 to ascertain student perceptions of which anatomy pedagogy—prosection or dissection—was most valuable to them during the first year of preclinical medical education and for the entire medical school experience in general. Students were asked, “What value does gross anatomy education have in preclinical medical education?” We further asked the students who participated in both prosection and dissection pedagogies, “Would you have preferred an anatomy curriculum like the Summer Anatomy Dissection during your first year in medical school instead of prosection?” All students who responded to the survey viewed anatomy as a highly valued part of the medical curriculum, specifically referring to four major themes: Anatomy is (1) the basis for medical understanding, (2) part of the overall medical school experience, (3) a bridge to understanding pathology and physiology, and (4) the foundation for clinical skills. Students who participated in both prosection and dissection pedagogies surprisingly and overwhelmingly advocated for a prosection curriculum for the first year of medical school, not a dissection curriculum. Time efficiency was the dominant theme in survey responses from students who learned anatomy through prosection and then dissection. Students, regardless of whether interested in surgery/radiology or not, appreciated both pedagogies but commented that prosection was sufficient for learning basic anatomy, while dissection was a necessary experience in preparation for the anatomical medical specialties. This suggests that anatomy instruction should be integrated into the clinical years of medical education.

Pancreatic Pseudotumor in Pancreas Divisum

1989 ◽  
Vol 13 (1) ◽  
pp. 140-141 ◽  
Author(s):  
Paul M. Silverman ◽  
Leon McVay ◽  
Robert K. Zeman ◽  
Brian S. Garra ◽  
Edward G. Grant ◽  
...  
Keyword(s):  
Pancreas Divisum ◽  
Pancréas Divisum

Removal of a pancreatic stent into the dorsal duct of a pancreas divisum

1994 ◽  
Vol 40 (2) ◽  
pp. 243-244 ◽  
Author(s):  
Marc Barthet ◽  
Gilbert Bordes ◽  
Jean-Paul Bernard ◽  
Pierre-Henri Pagliero ◽  
Jose Sahel
Keyword(s):  
Pancreas Divisum ◽  
Pancreatic Stent ◽  
Pancréas Divisum

Morphological Study of Pancreas Divisum in Niigata Using ERCP

1994 ◽  
Vol 6 (2) ◽  
pp. 158-162 ◽  
Author(s):  
Rintarou NARISAWA ◽  
Hitoshi ASAKURA ◽  
Masayuki NIWA ◽  
Kazuei OGOSHI
Keyword(s):  
Morphological Study ◽  
Pancreas Divisum ◽  
Pancréas Divisum

Effectiveness of Endoscopic Drainage for Pancreas Divisum: Endoscopic and Surgical Results in 31 Patients

Endoscopy ◽  
1990 ◽  
Vol 22 (03) ◽  
pp. 129-133 ◽  
Author(s):  
J. H. Siegel ◽  
J. S. Ben-Zvi ◽  
W. Pullano ◽  
A. Cooperman
Keyword(s):  
Pancreas Divisum ◽  
Endoscopic Drainage ◽  
Surgical Results ◽  
Pancréas Divisum

Pancreas divisum pancreatitis: a case report

2010 ◽  
Vol 36 (2) ◽  
pp. 215-217
Author(s):  
Elena Gologan ◽  
Dorin Achitei ◽  
Roxana Bocan ◽  
Gheorghe Balan
Keyword(s):  
Case Report ◽  
Pancreas Divisum ◽  
Pancréas Divisum

Un caso excepcional de coledococele y páncreas divisum de presentación en el anciano

2012 ◽  
Vol 35 (1) ◽  
pp. 8-11 ◽  
Author(s):  
Antonio Garrido ◽  
Rafael León ◽  
Jaime López ◽  
Jose Luis Márquez
Keyword(s):  
Pancreas Divisum ◽  
Pancréas Divisum
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