ERCP in acute biliary pancreatitis

被引:26
作者
Kapetanos, Dimitrios J. [1 ]
机构
[1] George Papanikolaou Hosp, Gastroenterol Dept, Thessaloniki 57010, Greece
来源
WORLD JOURNAL OF GASTROINTESTINAL ENDOSCOPY | 2010年 / 2卷 / 01期
关键词
Endoscopic retrograde cholangiopancreatography; Acute pancreatitis; Gallstone; Magnetic resonance cholangiopancreatography; Endoscopic ultrasound;
D O I
10.4253/wjge.v2.i1.25
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The role of urgent endoscopic retrograde cholangio-pancreatography (ERCP) in acute biliary pancreatitis is for many years a subject for disagreement among physicians. Although the evidence seemed to be in favor of performing ERCP, endoscopists usually hesitate to conform to the guidelines. ERCP is an invasive procedure, with complications which can affect patients' outcome. Recent evidence suggests that we should probably modify our policy, recruiting less invasive procedures, like magnetic resonance cholangio-pancreatography and endoscopic ultrasound, before conducting ERCP in patients with acute biliary pancreatitis. In this editorial the different aspects regarding the role of ERCP in acute biliary pancreatitis are discussed. (C) 2010 Baishideng. All rights reserved.
引用
收藏
页码:25 / 28
页数:4
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