ROLE OF ENDOSCOPY IN GALLSTONE PANCREATITIS

被引:26
作者
CARRLOCKE, DL [1 ]
机构
[1] HARVARD UNIV,SCH MED,DEPT MED,BOSTON,MA 02115
关键词
D O I
10.1016/S0002-9610(05)80953-5
中图分类号
R61 [外科手术学];
学科分类号
摘要
Early identification of those patients presenting with acute pancreatitis due to gallstone disease is important since emergency intervention may prevent the development of local and systemic complications. Urgent biliary surgery carries unacceptably high morbidity and mortality rates, but endoscopic retrograde cholangiopancreatography in experienced centers appears to be safe and is the optimal method for the diagnosis of bile duct stones. Two randomized controlled prospective trials have shown an advantage for endoscopic sphincterotomy and bile duct clearance compared with supportive therapy when performed within 24 to 72 hours of admission in those patients whose symptoms are considered severe according to prognostic scoring systems.
引用
收藏
页码:519 / 521
页数:3
相关论文
共 14 条
[1]   GALLSTONE MIGRATION AS A CAUSE OF ACUTE-PANCREATITIS [J].
ACOSTA, JM ;
LEDESMA, CL .
NEW ENGLAND JOURNAL OF MEDICINE, 1974, 290 (09) :484-487
[2]  
ACOSTA JM, 1980, SURGERY, V88, P118
[3]  
BANKS PA, 1991, PANCREAS, pS7
[4]  
Connors PJ, 1991, GASTROINTEST ENDOSC, V1, P27
[5]   EARLY TREATMENT OF ACUTE BILIARY PANCREATITIS BY ENDOSCOPIC PAPILLOTOMY [J].
FAN, ST ;
LAI, ECS ;
MOK, FPT ;
LO, CM ;
ZHENG, SS ;
WONG, J .
NEW ENGLAND JOURNAL OF MEDICINE, 1993, 328 (04) :228-232
[6]   DETECTION OF GALL STONES AFTER ACUTE-PANCREATITIS [J].
GOODMAN, AJ ;
NEOPTOLEMOS, JP ;
CARRLOCKE, DL ;
FINLAY, DBL ;
FOSSARD, DP .
GUT, 1985, 26 (02) :125-132
[7]   PROGNOSTIC FACTORS IN STERILE PANCREATIC NECROSIS [J].
KARIMGANI, I ;
PORTER, KA ;
LANGEVIN, RE ;
BANKS, PA .
GASTROENTEROLOGY, 1992, 103 (05) :1636-1640
[8]  
KELLY TR, 1988, SURGERY, V104, P600
[9]   COMPARISON OF 3 GLASGOW MULTIFACTOR PROGNOSTIC SCORING SYSTEMS IN ACUTE-PANCREATITIS [J].
LEESE, T ;
SHAW, D .
BRITISH JOURNAL OF SURGERY, 1988, 75 (05) :460-462
[10]   CONTROLLED TRIAL OF URGENT ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY AND ENDOSCOPIC SPHINCTEROTOMY VERSUS CONSERVATIVE TREATMENT FOR ACUTE-PANCREATITIS DUE TO GALLSTONES [J].
NEOPTOLEMOS, JP ;
LONDON, NJ ;
JAMES, D ;
CARRLOCKE, DL ;
BAILEY, IA ;
FOSSARD, DP .
LANCET, 1988, 2 (8618) :979-983