Hi, Pancreas divisum is a rare congenital condition in which the pancreatic ducts do not properly fuse during fetal development. This can lead to chronic abdominal pain, pancreatitis, and digestive issues. A sphincterotomy is a common treatment for pancreas divisum, but it may not always provide complete relief from symptoms. If your symptoms have returned and are severe, it is important to seek medical attention to determine the cause and appropriate treatment. Treatment options based on the symptoms severity could be: * Pain management: Your doctor may prescribe pain medications or suggest over-the-counter pain relievers to help manage your symptoms. * Enzyme replacement therapy: Pancreas divisum can lead to a deficiency in digestive enzymes, which can make it difficult to properly digest food. Enzyme replacement therapy can help to supplement these enzymes and improve digestion. * Endoscopic therapy: Endoscopic therapy can be used to access the pancreatic ducts and remove any blockages or stones that may be causing pain or other symptoms. * Surgery: In severe cases, surgery may be necessary to correct the structural abnormalities associated with the pancreas divisum. Surgery can also be used to remove any damaged or infected tissue in the pancreas. Your healthcare provider may refer you to a gastroenterologist or a specialist in pancreatic disorders for further evaluation and management. If you require a personalized response, kindly use the Ask A Doctor service and post a follow-up. Take care. Hope I have answered your question. Regards, Dr. Priyanka, General & Family Physician