Endoscopic retrograde cholangiopancreatography in gallstone-associated acute pancreatitis

Ayub, Khurram; Slavin, John; Imada, Regina

doi:10.1002/14651858.cd003630.pub3

Cited by 17 publications

(15 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This recommendation is based on randomized trials demonstrating the benefit of early ERCP in reducing biliary complications of ABP, especially in subgroups with severe ABP. 15 In the current study, the EST only group showed cumulative recurrence rates of ABP similar to those observed in the cholecystectomy only group (Fig. 2).…”

Section: Discussionsupporting

confidence: 82%

Does Endoscopic Sphincterotomy and/or Cholecystectomy Reduce Recurrence Rate of Acute Biliary Pancreatitis?

Bang

Kim

Cho

et al. 2015

Korean J Gastroenterol

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 82%

Does Endoscopic Sphincterotomy and/or Cholecystectomy Reduce Recurrence Rate of Acute Biliary Pancreatitis?

Bang

Kim

Cho

et al. 2015

Korean J Gastroenterol

View full text Add to dashboard Cite

show abstract

“…The ACDC Study found significant benefits for early cholecystectomy with no difference in conversion rate. EPT is therefore not always necessary (38), although early clearance of an obstruction probably has a favorable influence on the course of acute biliary pancreatitis. If biliary pancreatitis is accompanied by cholestasis/jaundice and/or signs of cholangitis, ERC/ papillotomy with stone extraction should be carried out as soon as possible, in the case of cholangitis within 24 h after admission.…”

Section: Acdc Study On Acute Cholecystitismentioning

confidence: 99%

The Treatment of Gallstone Disease

Gutt¹,

Schläfer²,

Lammert³

2020

Deutsches Ärzteblatt International

108

View full text Add to dashboard Cite

Background: Gallstone disease affects up to 20% of the European population, and cholelithiasis is the most common reason for hospitalization in gastroenterology. Methods: This review is based on pertinent publications retrieved by a selective search of the literature, including the German clinical practice guidelines on the diagnosis and treatment of gallstones and corresponding guidelines from abroad. Results: Regular physical activity and an appropriate diet are the most important measures for the prevention of gallstone disease. Transcutaneous ultrasonography is the paramount method of diagnosing gallstones. Endoscopic retrograde cholangiography should only be carried out as part of a planned therapeutic intervention; endosonography beforehand lessens the number of endoscopic retrograde cholangiographies that need to be performed. Cholecystectomy is indicated for patients with symptomatic gallstones or sludge. This should be performed laparoscopically with a four-trocar technique, if possible. Routine perioperative antibiotic prophylaxis is not necessary. Cholecystectomy can be performed in any trimester of pregnancy, if urgently indicated. Acute cholecystitis is an indication for early laparoscopic cholecystectomy within 24 hours of admission to hospital. After successful endoscopic clearance of the biliary pathway, patients who also have cholelithiasis should undergo laparoscopic cholecystectomy within 72 hours. Conclusion: The timing of treatment for gallstone disease is an essential determinant of therapeutic success.

show abstract

“…The timing of cholecystectomy in acute pancreatitis is controversial, and di erent factors must be considered depending upon the severity of acute pancreatitis (Gurusamy 2013). Endoscopic sphincterotomy or common bile duct exploration may have to be performed in the presence of common bile duct stones (Ayub 2004;Larson 2006). In the absence of gallstones, investigation of other causes of acute pancreatitis is required.…”

Section: Clinical Pathwaymentioning

confidence: 99%

Serum amylase and lipase and urinary trypsinogen and amylase for diagnosis of acute pancreatitis

Rompianesi

Hann

Komolafe

et al. 2017

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

As about a quarter of people with acute pancreatitis fail to be diagnosed as having acute pancreatitis with the evaluated tests, one should have a low threshold to admit the patient and treat them for acute pancreatitis if the symptoms are suggestive of acute pancreatitis, even if these tests are normal. About 1 in 10 patients without acute pancreatitis may be wrongly diagnosed as having acute pancreatitis with these tests, therefore it is important to consider other conditions that require urgent surgical intervention, such as perforated viscus, even if these tests are abnormal.The diagnostic performance of these tests decreases even further with the progression of time, and one should have an even lower threshold to perform additional investigations if the symptoms are suggestive of acute pancreatitis.

show abstract

Endoscopic retrograde cholangiopancreatography in gallstone-associated acute pancreatitis

Cited by 17 publications

References 19 publications

Does Endoscopic Sphincterotomy and/or Cholecystectomy Reduce Recurrence Rate of Acute Biliary Pancreatitis?

Does Endoscopic Sphincterotomy and/or Cholecystectomy Reduce Recurrence Rate of Acute Biliary Pancreatitis?

The Treatment of Gallstone Disease

Serum amylase and lipase and urinary trypsinogen and amylase for diagnosis of acute pancreatitis

Contact Info

Product

Resources

About