首页 | 本学科首页   官方微博 | 高级检索  
     

ERCP in acute pancreatitis
引用本文:Jijo V Cherian,Joye Varghese Selvaraj,Rajesh Natrayan,Jayanthi Venkataraman. ERCP in acute pancreatitis[J]. Hepatobiliary & Pancreatic Diseases International, 2007, 0(3)
作者姓名:Jijo V Cherian  Joye Varghese Selvaraj  Rajesh Natrayan  Jayanthi Venkataraman
作者单位:Department of Gastroenterology Stanley Medical College & Hospital Chennai India,Department of Gastroenterology Stanley Medical College & Hospital Chennai India,Department of Gastroenterology Stanley Medical College & Hospital Chennai India,Department of Gastroenterology Stanley Medical College & Hospital Chennai India
摘    要:
BACKGROUND: The role of endoscopic retrograde cholangiopancreatography (ERCP) in the management of acute pancreatitis has evolved over years since its introduction in 1968. Its importance in diagnosing the etiology of pancreatitis has steadily declined with the advent of less invasive diagnostic tools. The therapeutic implications of ERCP in acute pancreatitis are many fold and are directed towards management of known etiological factors or its related complications. This article highlights the current status of ERCP in acute pancreatitis. DATA SOURCES: An English literature search using PubMed database was conducted on ERCP in acute pancreatitis, the etiologies and complications of pancreatitis amenable to endotherapy and other related subjects, which were reviewed. RESULTS: ERCP serves as a primary therapeutic modality for management of biliary pancreatitis in specific situations, pancreatitis due to microlithiasis, specific types of sphincter of Oddi dysfunction, pancreas divisum, ascariasis and malignancy. In recurrent acute pancreatitis and smoldering pancreatitis it has a definite therapeutic utility. Complications of acute pancreatitis including pancreatic-duct disruptions or leaks, benign pancreatic-fluid collections and pancreatic necrosis can be beneficially dealt with. Intraductal ultrasound and pancreatoscopy during ERCP are useful in detecting pancreatic malignancy. CONCLUSIONS: The role of ERCP in acute pancreatitis is predominantly therapeutic and occasionally diagnostic. Its role in the management continues to evolve and advanced invasive procedures should be undertaken only in centers dedicated to pancreatic care.


ERCP in acute pancreatitis
Jijo V Cherian,Joye Varghese Selvaraj,Rajesh Natrayan and Jayanthi Venkataraman. ERCP in acute pancreatitis[J]. 国际肝胆胰疾病杂志, 2007, 0(3)
Authors:Jijo V Cherian  Joye Varghese Selvaraj  Rajesh Natrayan  Jayanthi Venkataraman
Affiliation:Jijo V Cherian,Joye Varghese Selvaraj,Rajesh Natrayan and Jayanthi VenkataramanDepartment of Gastroenterology,Stanley Medical College & Hospital,Chennai,India
Abstract:
BACKGROUND: The role of endoscopic retrograde cholangiopancreatography (ERCP) in the management of acute pancreatitis has evolved over years since its introduction in 1968. Its importance in diagnosing the etiology of pancreatitis has steadily declined with the advent of less invasive diagnostic tools. The therapeutic implications of ERCP in acute pancreatitis are many fold and are directed towards management of known etiological factors or its related complications. This article highlights the current status of ERCP in acute pancreatitis. DATA SOURCES: An English literature search using PubMed database was conducted on ERCP in acute pancreatitis, the etiologies and complications of pancreatitis amenable to endotherapy and other related subjects, which were reviewed. RESULTS: ERCP serves as a primary therapeutic modality for management of biliary pancreatitis in specific situations, pancreatitis due to microlithiasis, specific types of sphincter of Oddi dysfunction, pancreas divisum, ascariasis and malignancy. In recurrent acute pancreatitis and smoldering pancreatitis it has a definite therapeutic utility. Complications of acute pancreatitis including pancreatic-duct disruptions or leaks, benign pancreatic-fluid collections and pancreatic necrosis can be beneficially dealt with. Intraductal ultrasound and pancreatoscopy during ERCP are useful in detecting pancreatic malignancy. CONCLUSIONS: The role of ERCP in acute pancreatitis is predominantly therapeutic and occasionally diagnostic. Its role in the management continues to evolve and advanced invasive procedures should be undertaken only in centers dedicated to pancreatic care.
Keywords:acute pancreatitis  endoscopic retrograde cholangiopancreatography  therapeutic utility  stenting  sphincterotomy
本文献已被 CNKI 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号