Endoscopic retrograde cholangiopancreatography in the investigation and management of patients after acute pancreatitis

Author:

Hamilton I1,Bradley P2,Lintott D J3,McMahon M J2,Axon A T R1

Affiliation:

1. Gastroenterology Unit, The General Infirmary at Leeds

2. University Department of Surgery, The General Infirmary at Leeds

3. Department of Diagnostic Radiology, The General Infirmary at Leeds

Abstract

Abstract Thirty-one patients who had been admitted with acute pancreatitis underwent endoscopic retrograde cholangiopancreatography (ERCP) following initial investigation by cholecystogram or intravenous cholangiogram and by biochemical screening. Previously undiagnosed gallstones were demonstrated at ERCP in 4 patients, and in 2 others known gallstones were effectively treated by endoscopic sphincterotomy. Changes of chronic pancreatitis were found in 8 pancreatograms and no patient in whom a normal pancreatic duct was demonstrated has suffered a further recurrence of acute pancreatitis. ERCP was valuable in the management of patients with acute pancreatitis, both in the diagnosis and management of biliary disease and in the recognition of underlying chronic pancreatitis.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference17 articles.

1. Lundh test and ERCP in pancreatic disease;Ashton;Gut,1978

2. Is intravenous cholangiography still useful?;Goodman;Gastroenterology,1980

3. Pancreatography in relapsing pancreatitis;Arnesjo;Acta Chir. Scand.,1974

4. Endoscopic pancreatography in the management of relapsing acute pancreatitis;Cotton;Br. Med. J.,1974

5. Impact of endoscopic pancreatography on the management of relapsing pancreatitis;Cotton;Ann. R. Coll. Surg. Engl.,1976

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