Abstract

There are two main indicators of endoscopic ultrasound (EUS) in acute pancreatitis: (1) suspicion of a biliary cause and intermediate probability of a common bile duct stone and (2) idiopathic acute (recurrent) pancreatitis. In cases of suspected biliary pancreatitis, EUS reliably selects patients for therapeutic endoscopic retrograde cholangiography. In approximately two-third of cases with idiopathic acute pancreatitis, EUS reveals the etiology of acute pancreatitis (biliary microlithiasis and sludge, common bile duct stones, pancreas divisum and other abnormalities of the pancreatobiliary ducts, chronic pancreatitis, intraductal papillary mucinous neoplasms, and solid pancreatic tumors). This article is part of an expert video encyclopedia.

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