Mo1547 Endoscopic Ultrasound Directed Endoscopic Retrograde Cholangiopancreatography in Patients With Severe Acute Pancreatitis and High Suspicion of Choledocholithiasis

Abstract

Patients with severe acute pancreatitis has high suspicion for concomitant common bile duct (CBD) stones if there is presence of either raised serum bilirubin or dilated CBD. At presentation, CBD stones may have been passed out. Endoscopic retrograde cholangiopancreatography (ERCP) has been recommended for such high risk patients in the context when cross sectional imaging is negative for CBD stones. Endosonography (EUS) can obviate the need for ERCP since spontaneous passage of CBD stones may occur. Furthermore, the risk for ERCP complications is much higher than EUS.