[Routinely performed endoscopic retrograde cholangiopancreatography should not be recommended for gallstone-induced acute pancreatitis].
Danish guidelines recommend that patients with presumed severe gallstone-induced acute pancreatitis (GAP) should receive endoscopic retrograde cholangiopancreatography (ERCP) within 72 hours. The results of a newly performed meta-analysis show that acute ERCP in patients with GAP does not reduce the risk of complications, and ERCP is therefore not to be used routinely in GAP patients. The possible benefits of replacing ERCP with either endoscopic ultrasonography or magnetic resonance cholangiopancreatograhy have yet to be demonstrated.
Ainsworth
Alan Patrick
AP
Kirurgisk Afdeling A, Odense Universitetshospital, DK-5000 Odense C. alan.ainsworth@dadlnet.dk
Svendsen
Lars Bo
LB
D000208:Acute Disease; D002760:Cholangiopancreatography, Endoscopic Retrograde; D019317:Evidence-Based Medicine; D006801:Humans; D010195:Pancreatitis / Q000000981:diagnostic imaging* / Q000209:etiology; D017410:Practice Guidelines as Topic; D014463:Ultrasonography