Efficacy of Endoscopic Minor Papilla Sphincterotomy for Symptomatic Santorinicele.

Published on Feb 1, 2017in Clinical Gastroenterology and Hepatology8.549
· DOI :10.1016/J.CGH.2016.08.004
Stefano Francesco Crinò14
Estimated H-index: 14
(University of Verona),
Laura Bernardoni10
Estimated H-index: 10
(University of Verona)
+ 6 AuthorsArmando Gabbrielli26
Estimated H-index: 26
(University of Verona)
Background & Aims Santorinicele, a rare focal cystic dilation of the distal portion of the dorsal pancreatic duct at the minor papilla, can be a cause of recurrent acute pancreatitis (RAP). Endoscopic minor papilla sphincterotomy (EMPS) has been evaluated as a treatment in case reports but never systematically investigated. Methods We performed a retrospective analysis of the efficacy of EMPS in reducing episodes of pancreatitis. We collected data on 30 patients with santorinicele and RAP who underwent EMPS from June 2009 through April 2015 at University Hospital of Verona in Italy. The mean follow-up period was 43.8 months. Results The average number of pancreatitis episodes per year before EMPS was 1.59 vs 0.18 episodes after EMPS; the average number of pancreatitis cases that occurred during a comparable time period before EMPS was 2.63 vs 0.67 cases after EMPS ( P Conclusions EMPS is effective in reducing the incidence of pancreatitis in patients with santorinicele.
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