title: Gallstone pancreatitis: a review.
abstract: Gallstone disease is the most common cause of acute pancreatitis in the Western world. In most cases, gallstone pancreatitis is a mild and self-limiting disease, and patients may proceed without complications to cholecystectomy to prevent future recurrence. Severe disease occurs in about 20% of cases and is associated with significant mortality; meticulous management is critical. A thorough understanding of the disease process, diagnosis, severity stratification, and principles of management is essential to the appropriate care of patients presenting with this disease. This article reviews these topics with a focus on surgical management, including appropriate timing and choice of interventions.
authors.affiliation: Department of Surgery, College of Medicine, University of Arizona, PO Box 245005, Tucson, AZ 85724, USA.
authors.forename: Daniel
authors.initials: D
authors.lastname: Cucher
authors.affiliation: Division of Acute Care Surgery, Department of Surgery, Arizona Health Sciences Center, University of Arizona, 1501 North Campbell Avenue, PO Box 245063, Tucson, AZ 85724-5063, USA.
authors.forename: Narong
authors.initials: N
authors.lastname: Kulvatunyou
authors.affiliation: Division of Acute Care Surgery, Department of Surgery, Arizona Health Sciences Center, University of Arizona, 1501 North Campbell Avenue, PO Box 245063, Tucson, AZ 85724-5063, USA.
authors.forename: Donald J
authors.initials: DJ
authors.lastname: Green
authors.affiliation: Division of Hepatobiliary Surgery, Department of Surgery, Arizona Health Sciences Center, University of Arizona, 1501 North Campbell Avenue, PO Box 245066, Tucson, AZ 85724, USA.
authors.forename: Tun
authors.initials: T
authors.lastname: Jie
authors.affiliation: Division of Hepatobiliary Surgery, Department of Surgery, Arizona Health Sciences Center, University of Arizona, 1501 North Campbell Avenue, PO Box 245066, Tucson, AZ 85724, USA. Electronic address: eong@surgery.arizona.edu.
authors.forename: Evan S
authors.initials: ES
authors.lastname: Ong
mesh_terms: D018806:APACHE; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002763:Cholecystectomy / Q000379:methods; D002767:Cholecystostomy / Q000379:methods; D019411:Clinical Laboratory Techniques / Q000379:methods; D003952:Diagnostic Imaging / Q000379:methods; D005248:Feeding Methods; D042882:Gallstones / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007430:Intraoperative Care / Q000379:methods; D010195:Pancreatitis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D012720:Severity of Illness Index
chemical_list: D000900:Anti-Bacterial Agents
keywords: Biliary acute pancreatitis; Diagnosis; Early cholecystectomy; Gallstone pancreatitis; Management