Endoscopic retrograde cholangiopancreatography in the investigation and management of patients after acute pancreatitis

Thirty‐one patients who had been admitted with acute pancreatitis underwent endoscopic retrograde cholangiopancreatography (ERCP) following initial investigation by cholecystogram or intravenous cholangiogram and by biochemical screening. Previously undiagnosed gallstones were demonstrated at ERCP in 4 patients, and in 2 others known gallstones were effectively treated by endoscopic sphincterotomy. Changes of chronic pancreatitis were found in 8 pancreatograms and no patient in whom a normal pancreatic duct was demonstrated has suffered a further recurrence of acute pancreatitis. ERCP was valuable in the management of patients with acute pancreatitis, both in the diagnosis and management of biliary disease and in the recognition of underlying chronic pancreatitis.

[1]  W. Ruddell.  DIAGNOSIS OF CHRONIC PANCREATIC DISEASE , 1981, The Lancet.

[2]  T. Fabian,et al.  Gallstone Pancreatitis: Biliary Tract Pathology in Relation to Time of Operation , 1981, Annals of surgery.

[3]  N. Kalantzis,et al.  RELATIVE EFFICIENCY AND PREDICTIVE VALUE OF ULTRASONOGRAPHY AND ENDOSCOPIC RETROGRADE PANCREATOGRAPHY IN DIAGNOSIS OF PANCREATIC DISEASE , 1981, The Lancet.

[4]  P. Cotton,et al.  A preliminary report: urgent duodenoscopic sphincterotomy for acute gallstone pancreatitis. , 1981, Surgery.

[5]  J. Vennes,et al.  Is intravenous cholangiography still useful , 1980 .

[6]  P. Cotton.  Congenital anomaly of pancreas divisum as cause of obstructive pain and pancreatitis. , 1980, Gut.

[7]  L. Sáfrány.  ENDOSCOPIC TREATMENT OF BILIARY-TRACT DISEASES An International Study , 1978, The Lancet.

[8]  A. Axon,et al.  Lundh test and ERCP in pancreatic disease. , 1978, Gut.

[9]  K. Grønseth,et al.  COMPARISON OF ENDOSCOPIC RETROGRADE AND INTRAVENOUS CHOLANGIOGRAPHY IN DIAGNOSIS OF BILIARY CALCULI , 1978, The Lancet.

[10]  C. Pellegrini,et al.  Early surgery for acute gallstone pancreatitis: evaluation of a systematic approach. , 1978, Surgery.

[11]  P. Cotton,et al.  Proceedings: Impact of endoscopic pancreatography on the management of relapsing pancreatitis. , 1976, Annals of the Royal College of Surgeons of England.

[12]  Maletz Rm,et al.  Letter: Reversible renal concentrating defect in shock. , 1975 .

[13]  R. Abrams,et al.  Endoscopic retrograde cholangiopancreatography (ERCP) in the diagnosis of pancreatic inflammatory disease. , 1974, Radiology.

[14]  Al-Mayouf Am.  Letter: Protein requirements. , 1974 .

[15]  N. Kuno,et al.  Manometric endoscopic retrograde pancreatocholangiography , 1974, The American Journal of Digestive Diseases.

[16]  P. Cotton,et al.  Endoscopic Pancreatography in Management of Relapsing Acute Pancreatitis , 1974, British medical journal.

[17]  W. H. Thompson.  REPORT XCIV. ANAESTHETICS AND RENAL ACTIVITY , 1906, British medical journal.

[18]  L. Sáfrány.  Endoscopic treatment of biliary-tract diseases. An international study. , 1978, Lancet.

[19]  L. Nathanson,et al.  Letter: Treatment of malignant melanoma. , 1974, Lancet.