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:
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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]
| 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.