Timing of endoscopic therapy for acute bilio-pancreatic diseases: a practical overview.
Cholangitis
ERCP
EUS
biliary leak
cholecystitis
pancreatitis
Journal
Annals of gastroenterology
ISSN: 1108-7471
Titre abrégé: Ann Gastroenterol
Pays: Greece
ID NLM: 101121847
Informations de publication
Date de publication:
2021
2021
Historique:
received:
27
06
2020
accepted:
13
08
2020
entrez:
3
3
2021
pubmed:
4
3
2021
medline:
4
3
2021
Statut:
ppublish
Résumé
Diseases of the pancreas and hepatobiliary tree often require a therapeutic approach with endoscopic retrograde cholangiopancreatography (ERCP), generally following noninvasive imaging techniques. Appropriate indications and the correct timing for urgent ERCP would benefit both patients and clinicians and allow optimal utilization of health resources. Indications for urgent (<24 h) ERCP include severe acute cholangitis, acute biliary pancreatitis with cholangitis, biliary or pancreatic leaks, in the absence of percutaneous drainage, and severe acute cholecystitis in patients who are unfit for surgery and do not respond to conservative management. In patients who have severe acute biliary pancreatitis with ongoing biliary obstruction but without cholangitis, early (<48-72 h) ERCP is indicated. This overview aims to provide decisional flowcharts that can be easily used for managing patients with acute bilio-pancreatic disorders when they are referred to the Emergency Department.
Identifiants
pubmed: 33654349
doi: 10.20524/aog.2021.0580
pii: AnnGastroenterol-34-125
pmc: PMC7903577
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
125-129Informations de copyright
Copyright: © 2021 Hellenic Society of Gastroenterology.
Déclaration de conflit d'intérêts
Conflict of Interest: None
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