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Saudi J Gastroenterol. 2009 Jul-Sep;15(3):147-55. doi: 10.4103/1319-3767.54740.

Acute biliary pancreatitis: diagnosis and treatment.

Author information

1
Department of Surgery, College of Medicine, King Faisal University, Dammam, Kingdom of Saudi Arabia, Al-Khobar - 31952. hazakaria@yahoo.com

Abstract

Gallstones are the commonest cause of acute pancreatitis (AP), a potentially life-threatening condition, worldwide. The pathogenesis of acute pancreatitis has not been fully understood. Laboratory and radiological investigations are critical for diagnosis as well prognosis prediction. Scoring systems based on radiological findings and serologic inflammatory markers have been proposed as better predictors of disease severity. Early endoscopic retrograde cholangiopancreatography (ERCP) is beneficial in a group of patients with gallstone pancreatitis. Laparoscopic cholecystectomy with preoperative endoscopic common bile duct clearance is recommended as a treatment of choice for acute biliary pancreatitis. The timing of cholecystectomy, following ERCP, for biliary pancreatitis can vary markedly depending on the severity of pancreatitis.

PMID:
19636174
PMCID:
PMC2841412
DOI:
10.4103/1319-3767.54740
[Indexed for MEDLINE]
Free PMC Article

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