Endoscopic Treatments of Pancreatic Incomplete Divisum (PID) in 20 Cases - Especially About Our New Procedures: Rendezvous Pre-Cut Method and Reverse Balloon Method

Tsuji, Tadao; Sun, Gaofeng; Sugiyama, Akihiko; Amano, Yuji; Mano, Shohei; Shinobi, Tetsuya; Tanaka, Hiroyuki; Kubochi, M; Ohishi, Kiroku; Ono, Masafumi; Masuda, Tatsuaki; Shinozaki, Hiroharu; Kaneda, Hideaki; Katsura, Hiroshi; Mizutani, Taku; K, ura; Katoh, Mayumi; Yamafuji, Kazuo; Takeshima, Kaoru; Okamoto, Nobuhiko

doi:10.31031/gmr.2020.04.000585

Cited by 1 publication

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References 2 publications

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“…From 2017, we have introduced and reported about new therapeutic procedures for the PD, IPD therapy: pre-cut method, balloon dilation method free-hand method, rendezvous method rendezvous pre-cut method and reverse balloon dilation method. The success rate of CPD and IPD via minor papilla was 97% (131/135) and 94% (33/36) respectively without severe complications [25][26][27]. However we had to exchange EPS many times and still now EPS is placed in 24 cases.…”

Section: Discussionmentioning

confidence: 98%

A Case Report-Endoscopic Treatments of 47 Incomplete Pancreatic Divisum (IPD) Cases in our Hospital – Special Emphasis on our New Procedures: Rendezvous Pre-Cut Method and Reverse Balloon Dilation Method

Tsuji¹,

Sun²,

Sugiyama³

2021

J Gast Hepa Rep

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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.

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Section: Discussionmentioning

confidence: 98%