2014
DOI: 10.1016/j.pan.2014.08.002
|View full text |Cite
|
Sign up to set email alerts
|

Controversial issues in biliary pancreatitis: When should we perform MRCP and ERCP?

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
2
1

Citation Types

0
18
0
2

Year Published

2016
2016
2023
2023

Publication Types

Select...
5
3
1

Relationship

0
9

Authors

Journals

citations
Cited by 30 publications
(20 citation statements)
references
References 10 publications
0
18
0
2
Order By: Relevance
“…Patients with acute biliary pancreatitis may undergo early ERCP for removal of stones causing common bile duct obstruction to reduce disease severity and risk of complications [9,10]. The appropriate timing of ERCP is controversial [9,11]. Some authors argue that if ERCP has to be performed in patients with gallstone-related AP, it should be performed within 72 hours to have the highest chance of mitigating the pancreatic inflammatory process and reducing systemic complications [10].…”
Section: Special Imaging Considerationsmentioning
confidence: 99%
See 1 more Smart Citation
“…Patients with acute biliary pancreatitis may undergo early ERCP for removal of stones causing common bile duct obstruction to reduce disease severity and risk of complications [9,10]. The appropriate timing of ERCP is controversial [9,11]. Some authors argue that if ERCP has to be performed in patients with gallstone-related AP, it should be performed within 72 hours to have the highest chance of mitigating the pancreatic inflammatory process and reducing systemic complications [10].…”
Section: Special Imaging Considerationsmentioning
confidence: 99%
“…Diffusion-weighted imaging may be used as an alternative to contrast to assess the presence of necrotizing pancreatitis in some cases. Additionally, MRCP can assist in the diagnosis of delayed passage of choledocholithiasis, potentially avoiding unnecessary ERCP [11].…”
Section: Special Imaging Considerationsmentioning
confidence: 99%
“…In their series, 33% of patients had cholelithiasis during the first 4 days, and 80% of them had stones initially. The authors concluded that MRCP performed in the second week of acute biliary pancreatitis showed higher efficacy in selecting patients for ERCP prior to surgery [ 20 ].…”
Section: Discussionmentioning
confidence: 99%
“…A considerable proportion of CBD stones pass spontaneously and thereafter do not seem to be clinically significant. [25][26][27] The sensitivity of MRCP has also been shown to be less for small stones (<5 mm) and for stones lodged in the ampulla of Vater as can occur during biliary pancreatitis. [16,28,29] Many studies analysing the overall diagnostic accuracy of MRCP had a very limited number of participants [5][6][7][8][9]11,[13][14][15][16][17][18][19][20][21] with a range of 30 [5,8] to 315 patients.…”
Section: Discussionmentioning
confidence: 99%