Pancreatic Disorders & Therapy
Open Access
ISSN: 2165-7092
+44 1478 350008
ISSN: 2165-7092
+44 1478 350008
Division of Gastroenterology and Gastrointestinal Endoscopy, Vita-Salute San Raffaele University, Scientific Institute San Raffaele, 20132 Milan, Italy
Pier Testoni is an Italian educator and scientist. He is an associate professor of gastroenterology and director of Specialization School in Geriatrics and Gerontology at Vita-Salute San Raffaele University.Testoni is a member of Italian Society of Digestive Endoscopy, American Gastroenterological Association, European Association of Gastroenterology and Endoscopy and American Association of Gastrointestinal Endoscopy.
Review Article
Endoscopic Treatment of Pancreas Divisum: Facts and Unsettled Issues
Author(s): Sabrina Testoni and Pier Alberto Testoni*
Pancreas Divisum (PD) is the most common congenital malformation of the pancreas and leads to a dominant dorsal
pancreatic duct draining through the minor papilla. The prevalence in western populations is about 10% and more
than 95% of these patients are asymptomatic. Clinical manifestations of symptomatic PD include pancreatic pain,
Recurrent Acute Pancreatitis (RAP) and Chronic Pancreatitis (CP). The etiological role of PD in the occurrence of
pancreatic disease has not yet been clearly defined, but it may predispose to pancreatic disease in co-existence with
other factors, such as genetic mutations. Patients with symptomatic PD could be treated by minor papilla therapy,
either surgical or endoscopic, which have comparable outcomes. Minor papilla endotherapy (papillotomy and/
or dorsal duct stenting) is considered the first-line therapy due to a favorable advers.. View More»