Abstract
In 29 patients with gallstone pancreatitis, endoscopic papillotomy was performed during the first period (1976-1979) as elective procedure 1-8 weeks after the clinical symptoms had subsided. From 1979, endoscopic investigations and treatment were routinely done within 48 hours after the onset of clinical symptoms. The ERCPs and EPTs were well-tolerated and were performed without serious complications. The results of these series indicate that EPT can be safely performed in the acute stage of gallstone pancreatitis. Acute EPT gives effective drainage and relief of the acute symptoms in patients with obstructive pancreatitis.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Acosta J. M., Ledesma C. L. Gallstone migration as a cause of acute pancreatitis. N Engl J Med. 1974 Feb 28;290(9):484–487. doi: 10.1056/NEJM197402282900904. [DOI] [PubMed] [Google Scholar]
- Acosta J. M., Rossi R., Galli O. M., Pellegrini C. A., Skinner D. B. Early surgery for acute gallstone pancreatitis: evaluation of a systematic approach. Surgery. 1978 Apr;83(4):367–370. [PubMed] [Google Scholar]
- Frey C. F. The operative treatment of pancreatitis. Arch Surg. 1969 Apr;98(4):406–417. doi: 10.1001/archsurg.1969.01340100038003. [DOI] [PubMed] [Google Scholar]
- Kelly T. R. Gallstone pancreatitis: pathophysiology. Surgery. 1976 Oct;80(4):488–492. [PubMed] [Google Scholar]
- McMahon M. J., Pickford I. R. Biochemical prediction of gallstones early in an attack of acute pancreatitis. Lancet. 1979 Sep 15;2(8142):541–543. doi: 10.1016/s0140-6736(79)91610-6. [DOI] [PubMed] [Google Scholar]
- Paloyan D., Simonowitz D. Diagnostic considerations in acute alcoholic and gallstone pancreatitis. Am J Surg. 1976 Sep;132(3):329–331. doi: 10.1016/0002-9610(76)90386-x. [DOI] [PubMed] [Google Scholar]
- Paloyan D., Simonowitz D., Skinner D. B. The timing of biliary tract operations in patients with pancreatitis associated with gallstones. Surg Gynecol Obstet. 1975 Nov;141(5):737–739. [PubMed] [Google Scholar]
- Ranson J. H. The timing of biliary surgery in acute pancreatitis. Ann Surg. 1979 May;189(5):654–663. doi: 10.1097/00000658-197905000-00016. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Safrany L., Cotton P. B. A preliminary report: urgent duodenoscopic sphincterotomy for acute gallstone pancreatitis. Surgery. 1981 Apr;89(4):424–428. [PubMed] [Google Scholar]
- Stone H. H., Fabian T. C., Dunlop W. E. Gallstone pancreatitis: biliary tract pathology in relation to time of operation. Ann Surg. 1981 Sep;194(3):305–312. doi: 10.1097/00000658-198109000-00008. [DOI] [PMC free article] [PubMed] [Google Scholar]
- van der Spuy S. Endoscopic sphincterotomy in the management of gallstone pancreatitis. Endoscopy. 1981 Jan;13(1):25–26. doi: 10.1055/s-2007-1021636. [DOI] [PubMed] [Google Scholar]