Role of encloscopic retrograde cholangiopancreatography in acute pancreatitis

被引:29
作者
Canlas, Karen R. [1 ]
Branch, Malcolm S. [1 ]
机构
[1] Duke Univ, Med Ctr, Div Gastroenterol & Hepatol, Durham, NC 27710 USA
关键词
endoscopic retrograde cholangiopancreatography; acute pancreatitis;
D O I
10.3748/wjg.13.6314
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Endoscopic retrograde cholangiopancreatography (ERCP) is a useful tool in the evaluation and management of acute pancreatitis. This review will focus on the role of ERCP in specific causes of acute pancreatitis, including microlithiasis and gallstone disease, pancreas divisum, Sphincter of Oddi dysfunction, tumors of the pancreaticobiliary tract, pancreatic pseudocysts, and pancreatic duct injury. Indications for endoscopic techniques such as biliary and pancreatic sphincterotomy, stenting, stricture dilation, treatment of duct leaks, drainage of fluid collections and stone extraction will also be discussed in this review. With the advent of less invasive and safer diagnostic modalities including endoscopic ultrasound (EUS) and magnetic retrograde cholangiopancreatography (MRCP), ERCP is appropriately becoming a therapeutic rather than diagnostic tool in the management of acute pancreatitis and its complications. (c) 2007 WJG. All rights reserved.
引用
收藏
页码:6314 / 6320
页数:7
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