Gallstone pancreatitis: general clinical approach and the role of endoscopic retrograde cholangiopancreatography

dc.contributor.authorKundumadam, Shanker
dc.contributor.authorFogel, Evan L.
dc.contributor.authorGromski, Mark Andrew
dc.contributor.departmentMedicine, School of Medicineen_US
dc.date.accessioned2022-04-29T13:27:36Z
dc.date.available2022-04-29T13:27:36Z
dc.date.issued2021-01
dc.description.abstractGallstones account for majority of acute pancreatitis in the Western world. Increase in number and smaller size of the stones increases the risk for biliary pancreatitis. In addition to features of acute pancreatitis, these patients also have cholestatic clinical picture. Fluid therapy and enteral nutrition are vital components in management of any case of acute pancreatitis. During initial evaluation, a right upper quadrant ultrasonogram is particularly important. On a case-bycase basis, further advanced imaging studies such as magnetic resonance cholangiopancreatography or endoscopic ultrasound may be warranted. Acute management also involves monitoring for local and systemic complications. Patients are triaged based on predictors of ongoing biliary obstruction in order to identify who would need endoscopic retrograde cholangiopancreatography. Index cholecystectomy is safe and recommended, with exception of cases with significant local and systemic complications where delayed cholecystectomy may be safer.en_US
dc.eprint.versionFinal published versionen_US
dc.identifier.citationKundumadam S, Fogel EL, Gromski MA. Gallstone pancreatitis: general clinical approach and the role of endoscopic retrograde cholangiopancreatography. Korean J Intern Med. 2021;36(1):25-31. doi:10.3904/kjim.2020.537en_US
dc.identifier.urihttps://hdl.handle.net/1805/28809
dc.language.isoen_USen_US
dc.publisherKorean Association of Internal Medicineen_US
dc.relation.isversionof10.3904/kjim.2020.537en_US
dc.relation.journalKorean Journal of International Medicineen_US
dc.rightsAttribution-NonCommercial 4.0 International*
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0*
dc.sourcePMCen_US
dc.subjectPancreatitisen_US
dc.subjectCholangiopancreatographyen_US
dc.subjectEndoscopic retrogradeen_US
dc.subjectCholecystectomyen_US
dc.titleGallstone pancreatitis: general clinical approach and the role of endoscopic retrograde cholangiopancreatographyen_US
dc.typeArticleen_US
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