title: [Symptomatic choledocholithiasis during pregnancy - the role of ultrasound, ERCP and EUS].
abstract: We present an overview of the management of acute bilary pancreatitis in pregnancy with particular reference to endoscopy. Ultrasound is the gold standard for diagnosis. If clinical symptoms, laboratory parameters and transabdominal ultrasound do not allow appropriate decision making, endoscopic ultrasound (EUS) is the method of choice. EUS is preferably performed prior to ERCP during the same clinical session, this is of particular relevance for pregnant women with regards to the safety of mother and fetus. However, because the procedure is performed under fluoroscopic guidance, there are potential risks related to the radiation exposure. ERCP, especially in pregnant patients demands high expertise from the endoscopist, and with due diligence and attention to detail, the procedure can be safely performed.
authors.affiliation: Abteilung Innere Medizin, Maria Heimsuchung Caritas Klinik Pankow.
authors.forename: U
authors.initials: U
authors.lastname: Gottschalk
authors.forename: E
authors.initials: E
authors.lastname: Gottschalk
authors.forename: C F
authors.initials: CF
authors.lastname: Dietrich
mesh_terms: D042883:Choledocholithiasis / Q000175:diagnosis*; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*; D014463:Ultrasonography / Q000379:methods*