title: Gallstone-induced acute pancreatitis.
abstract: 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.
authors.affiliation: 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
authors.forename: Yasutoshi
authors.initials: Y
authors.lastname: Kimura
authors.forename: Shinju
authors.initials: S
authors.lastname: Arata
authors.forename: Tadahiro
authors.initials: T
authors.lastname: Takada
authors.forename: Koichi
authors.initials: K
authors.lastname: Hirata
authors.forename: Masahiro
authors.initials: M
authors.lastname: Yoshida
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Mayumi
authors.forename: Masahiko
authors.initials: M
authors.lastname: Hirota
authors.forename: Kazunori
authors.initials: K
authors.lastname: Takeda
authors.forename: Toshifumi
authors.initials: T
authors.lastname: Gabata
authors.forename: Hodaka
authors.initials: H
authors.lastname: Amano
authors.forename: Keita
authors.initials: K
authors.lastname: Wada
authors.forename: Miho
authors.initials: M
authors.lastname: Sekimoto
authors.forename: Morihisa
authors.initials: M
authors.lastname: Hirota
authors.forename: Masamichi
authors.initials: M
authors.lastname: Yokoe
authors.forename: Seiki
authors.initials: S
authors.lastname: Kiriyama
authors.forename: Tetsuhide
authors.initials: T
authors.lastname: Ito
mesh_terms: 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