Acute pancreatitis other imaging findings
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
Overview
Other Imaging Findings
Role of ERCP
According to the American college of gastroenterology, following are the guidelines for the management of acute pancreatitis:[1][2][3][4][5][6]
| Recommendation | Evidence Level | Strength of Recommendation |
|---|---|---|
| Patients with acute pancreatitis and concurrent acute cholangitis should undergo ERCP within 24 h of admission | Moderate | Strong |
| ERCP is not needed in most patients with gallstone pancreatitis who lack laboratory or clinical evidence of ongoing biliary obstruction | Low | Strong |
| In the absence of cholangitis and/or jaundice, MRCP or endoscopic ultrasound (EUS) rather than diagnostic ERCP should be used to screen for choledocholithiasis if highly suspected | Low | Conditional |
| Pancreatic duct stents and/or postprocedure rectal nonsteroidal anti-inflammatory drug (NSAID) suppositories should be utilized to prevent severe post-ERCP pancreatitis in high-risk patients | Moderate | Conditional |
References
- ↑ Tenner S, Baillie J, DeWitt J, Vege SS, American College of Gastroenterology (2013). "American College of Gastroenterology guideline: management of acute pancreatitis". Am J Gastroenterol. 108 (9): 1400–15, 1416. doi:10.1038/ajg.2013.218. PMID 23896955.
- ↑ Tenner S (2004). "Initial management of acute pancreatitis: critical issues during the first 72 hours". Am. J. Gastroenterol. 99 (12): 2489–94. doi:10.1111/j.1572-0241.2004.40329.x. PMID 15571599.
- ↑ Acosta JM, Ledesma CL (1974). "Gallstone migration as a cause of acute pancreatitis". N. Engl. J. Med. 290 (9): 484–7. doi:10.1056/NEJM197402282900904. PMID 4810815.
- ↑ Fan ST, Lai EC, Mok FP, Lo CM, Zheng SS, Wong J (1993). "Early treatment of acute biliary pancreatitis by endoscopic papillotomy". N. Engl. J. Med. 328 (4): 228–32. doi:10.1056/NEJM199301283280402. PMID 8418402.
- ↑ Fölsch UR, Nitsche R, Lüdtke R, Hilgers RA, Creutzfeldt W (1997). "Early ERCP and papillotomy compared with conservative treatment for acute biliary pancreatitis. The German Study Group on Acute Biliary Pancreatitis". N. Engl. J. Med. 336 (4): 237–42. doi:10.1056/NEJM199701233360401. PMID 8995085.
- ↑ Arguedas MR, Dupont AW, Wilcox CM (2001). "Where do ERCP, endoscopic ultrasound, magnetic resonance cholangiopancreatography, and intraoperative cholangiography fit in the management of acute biliary pancreatitis? A decision analysis model". Am. J. Gastroenterol. 96 (10): 2892–9. doi:10.1111/j.1572-0241.2001.04244.x. PMID 11693323.