Editing Pancreas divisum (section)

== '''Pathophysiology''' ==

* Controversial as to whether it actually causes pancreatitis
** Could outflow obstruction at minor papilla be responsible?
** Could there be some other underlying genetic abnormalities? It's associated with a higher prevalence of genetic mutations that predispose to pancreatitis.
** Patients referred for ERCP with pancreatitis have higher incidence of pancreas divisum than expected
** Sphincterotomy or stenting minor papilla does reduce the rate of recurrent pancreatitis
*** If that fails and patients remain symptomatic, or chronic pancreatitis/local complications occur, consider surgery (sphincteroplasty, pancreaticoduodenectomy, duodenum-preserving pancreatic head resection)