Orvosi Hetilap
Volume/Issue:
Volume 152: Issue 44
Clinical importance of pancreas divisum
Authors: László Herszényi, Richárd Szmola, and Zsolt Tulassay
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  • 1 Semmelweis Egyetem, Általános Orvostudományi Kar II. Belgyógyászati Klinika Budapest Szentkirályi u. 46. 1088
  • 2 Magyar Tudományos Akadémia–Semmelweis Egyetem Molekuláris Medicina Kutatócsoport Budapest
DOI:
https://doi.org/10.1556/oh.2011.29231
Page Count:
1764–1771
Publication Date:
01 Oct 2011
Online Publication Date:
13 Oct 2011
Article Category:
Research Article
Open access

A pancreas divisum a hasnyálmirigy leggyakoribb fejlődési rendellenessége, amelyhez a vezetékrendszer három fő eltérése társulhat: a klasszikus formában a fővezetékek teljesen elkülönülnek egymástól (I-es típus); a II-es típusban a dorsalis pancreasvezeték is lehet a domináns vezető; az inkomplett formában pedig (III-as típus) másodlagos csatornán keresztül kapcsolat alakulhat ki a fővezetékek között. A pancreas divisum három klinikai állapot kialakulásához vezethet: 1. akut recidíváló pancreatitis vagy 2. a dorsalis telepben jelentkező idült pancreatitis alakulhat ki, valamint 3. pancreatogen obstruktív hasi fájdalom jelentkezhet. A diagnózis felállításában jelenleg az endoszkópos retrográd cholangiopancreatographiáé a döntő szerep, de újabban a mágneses rezonancia cholangiopancreatographia az elsődlegesen választandó noninvazív módszerré lépett elő. A pancreas divisum tünetmentes formája önmagában nem igényel orvosi beavatkozást, de az enyhe visszatérő akut pancreatitises betegeket kezelni kell. A sebészi vagy az endoszkópos beavatkozások a járulékos papilla relatív szűkülete miatt kialakult obstrukció megszüntetésére irányulnak. Orv. Hetil., 2011, 152, 1764–1771.

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Cover Orvosi Hetilap
Orvosi Hetilap
Print ISSN:
0030-6002
Online ISSN:
1788-6120
Keywords:
pancreas divisum; pancreatitis; ultrahang; endoszkópia; papilla minor; papillotomia; ERCP; MRCP; pancreas divisum; pancreatitis; ultrasound; endoscopy; minor papilla; papillotomy; ERCP; MRCP

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