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Use of combined methylene blue chromoendoscopy and intravenous secretin for endoscopic therapy in pancreas divisum

机译：亚甲基蓝色内窥镜和静脉内分泌素联合用于胰脏内镜治疗的应用

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A 40-year-old woman was seen because of several episodes of acute idiopathic pancreatitis that had started atleast 2 years before presentation. Prior workup at anoutside hospital included an EUS, which had findings concerning for pancreas divisum. Owing to repeated episodesof pancreatitis, secretin-enhanced MRCP was performedand confirmed complete divisum, which is characterizedby a separate dorsal pancreatic duct at the minor papillaand a short ventral duct merging with the common bileduct at the major papilla (Fig. 1).1 An ERCP was initiallyattempted at an outside hospital but was unsuccessfulbecause the minor papilla could not be identified despitethe use of methylene blue. She was referred to ourinstitution for a repeated attempt at endoscopic therapy(Video 1, available online at www.VideoGIE.org).
机译：观察到一名40岁的妇女，原因是在发病前至少2年开始发生几起急性特发性胰腺炎。先前在一家外部医院进行的检查包括一个超声内镜检查，该检查结果与胰脏分裂有关。由于胰腺炎反复发作，进行了促胰液素增强的MRCP并确认了完全的分裂，其特征是小乳头处有独立的背胰管，而短乳头管与大乳头处的总胆管合并（图1）。1ERCP最初是在一家外部医院尝试过的，但未成功，因为尽管使用了亚甲蓝仍无法识别出较小的乳头。她被转介到我们的机构进行内窥镜治疗的反复尝试（视频1，可从www.VideoGIE.org在线获得）。

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