Abstract
IP accounts for 10-30% of acute pancreatitis. Purpose: To assess the role of ERCP, biliary crystal analysis, sphincter of Oddi manometry (SOM), endoscopic sphincterotomy (ES) and minor papilla (MP) therapeutics in IP. Methods: 126 patients with IP (mean age: 44 yrs.) were identified. Mean episodes of pancreatitis were 3.2(range 2-7). Papillary stenosis was defined as dilated duct (CBD >10mm and/or PD >5mm) with delayed drainage (CBD >45 min. and/or PD >10 min.). Patients with normal ERCP underwent SOM with IV CCK provocation and with gallbladder (GB) in situ also had bile collection after CCK stimulation for crystal (cholesterol and/or calcium bilirubinate) analysis. Results: (see table below). Conclusions: ERCP techniques: MP cannulation, bile crystal analysis and SOM in selected patients identified an etiology in 79% (endoscopically treatable in 75%) of patients with IP, with or without cholecystectomy.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
