Gallstone-induced acute pancreatitis.
In the care of acute pancreatitis, a prompt search for the etiologic condition of the disease should be conducted. A differentiation of gallstone-induced acute pancreatitis should be given top priority in its etiologic diagnosis because it is related to the decision of treatment policy. Examinations necessary for diagnosing gallstone-induced acute pancreatitis include blood tests and ultrasonography. Early ERCP/ES should be performed in patients with gallstone-induced acute pancreatitis if a complication of cholangitis and a prolonged passage disorder of the biliary tract are suspected. The treatment for bile duct stones with the use of ERCP/ES alone is not recommended in cases of gallstone-induced pancreatitis with gallbladder stones. Cholecystectomy for gallstone-induced acute pancreatitis should be performed using a laparoscopic procedure as the first option as soon as the disease has subsided.
Kimura
Yasutoshi
Y
Department of Surgical Oncology and Gastroenterological Surgery, Sapporo Medical University School of Medicine, Minami 1, Nishi 16, Chuo-ku, Sapporo, 060-8543, Japan. kimuray@sapmed.ac.jp
Arata
Shinju
S
Takada
Tadahiro
T
Hirata
Koichi
K
Yoshida
Masahiro
M
Mayumi
Toshihiko
T
Hirota
Masahiko
M
Takeda
Kazunori
K
Gabata
Toshifumi
T
Amano
Hodaka
H
Wada
Keita
K
Sekimoto
Miho
M
Hirota
Morihisa
M
Yokoe
Masamichi
M
Kiriyama
Seiki
S
Ito
Tetsuhide
T
D000208:Acute Disease; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic; D003952:Diagnostic Imaging; D042882:Gallstones / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D007902:Length of Stay; D015201:Meta-Analysis as Topic; D010195:Pancreatitis / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D017410:Practice Guidelines as Topic; D016032:Randomized Controlled Trials as Topic; D016717:Sphincterotomy, Endoscopic; D016896:Treatment Outcome