788a: Intraduodenal Hydrochloride Acid Infusion for Facilitation of Cannulation of the Dorsal Pancreatic Duct At ERCP in Patients With Pancreas Divisum—A Preliminary Study

Abstract

Minor papilla (dorsal pancreatic duct) cannulation at endoscopic retrograde cholangiopancreatography (ERCP) is an important step in diagnosis of pancreas divisum and in prevention of pancreatitis attacks for patients with recurrent acute pancreatitis secondary to pancreas divisum by performing sphincterotomy or stent placement in the dorsal duct. To achieve a successful cannulation of the minor papilla may be very difficult. Intravenous injection of biological porcine secretin or synthetic porcine secretin has significantly increased the minor papilla cannulation rate.