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World J Gastroenterol. Feb 21, 2008; 14(7): 1027-1033
Published online Feb 21, 2008. doi: 10.3748/wjg.14.1027
Pancreatic ductal system obstruction and acute recurrent pancreatitis
M Delhaye, C Matos, M Arvanitakis, J Devière
M Delhaye, C Matos, M Arvanitakis, J Devière, Department of Gastroenterology and Hepatopancreatology, Erasme University Hospital, Brussels, Belgium
Correspondence to: Jacques Devière, MD, Department of Gastroenterology, ULB Erasme Hospital, 808 route de Lennik, B-1070 Brussels, Belgium. jacques.deviere@erasme.ulb.ac.be
Telephone: +32-25553712
Fax: +32-25554697
Received: September 4, 2006
Revised: October 8, 2007
Published online: February 21, 2008
Abstract

Acute recurrent pancreatitis is a clinical entity largely associated with pancreatic ductal obstruction. This latter includes congenital variants, of which pancreas divisum is the most frequent but also controversial, chronic pancreatitis, tumors of the pancreaticobiliary junction and sphincter of Oddi dysfunction. This review summarizes current knowledge about diagnostic work-up and therapy of these conditions.

Keywords: Pancreatitis, Congenital variants, Sphincter of Oddi dysfunction, Pancreatic tumors, Magnetic resonance cholangiopancreatography, Endoscopic retrograde cholangiopancreatography