1987 Volume 29 Issue 4 Pages 659-667
Out of 5, 000 examinations of endoscopic retrograde cholangiopancreatography (ERCP) in the past 16 years, 3851 ERCP were taken with the purpose of diagnosis in pancreatic and biliary duct system, and were analysed in this series. In results, pancreas divisum were found in 25 cases (5 cases confirmed, 20 cases unconfirmed). No cases with pancreas divisum combined with chronic pancreatitis or cancer. Cases with pancreas divisum over 50 years of age had high incidence of diabetes mellitus. Cases with bigger Santorini duct in comparison to Wirsung duct were observed in 8 cases. In these cases symptom of upper abdominal pain was observed frequently without hyper amylasemia. In 9 cases, localized stricture was observed at the junction of Santorini duct and Wirsung duct without any another abnormality in the rest of pancreatic duct system. In these localized stricture cases complaint of epigastric pain was frequently.
