A 14-year-old boy presents to your clinic. Over the last 12 months he had multiple hospitalizations for acute pancreatitis. An extensive GI workup, including genetic analysis, shows no obvious etiology for his pancreatitis. He does not have gallstones on ultrasound. An MRCP revealed that the dorsal pancreatic duct drains into the minor papilla and the ventral duct joins with the bile duct entering the major ampulla. The ducts are not markedly dilated and there are no strictures of the ducts noted in the body of the pancreas. What would be the best next step in the management of this adolescent?
A ERCP with sphincterotomy and stent placement
B Transduodenal sphincteroplasty
C Pancreaticoduodenectomy (Whipple procedure)
D Total pancreatectomy with islet cell autotransplantation
E Lateral pancreaticojejunostomy
A ERCP with sphincterotomy and stent placement
B Transduodenal sphincteroplasty
C Pancreaticoduodenectomy (Whipple procedure)
D Total pancreatectomy with islet cell autotransplantation
E Lateral pancreaticojejunostomy
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