Gallstone-induced acute pancreatitis

Yasutoshi Kimura, Shinju Arata, Tadahiro Takada, Koichi Hirata, Masahiro Yoshida, Toshihiko Mayumi, Masahiko Hirota, Kazunori Takeda, Toshifumi Gabata, Hodaka Amano, Keita Wada, Miho Sekimoto, Morihisa Hirota, Masamichi Yokoe, Seiki Kiriyama, Tetsuhide Ito

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Abstract

In the care of acute pancreatitis, a prompt search for the etiologic condition of the disease should be conducted. A differentiation of gallstone-induced acute pancreatitis should be given top priority in its etiologic diagnosis because it is related to the decision of treatment policy. Examinations necessary for diagnosing gallstone-induced acute pancreatitis include blood tests and ultrasonography. Early ERCP/ES should be performed in patients with gallstone-induced acute pancreatitis if a complication of cholangitis and a prolonged passage disorder of the biliary tract are suspected. The treatment for bile duct stones with the use of ERCP/ES alone is not recommended in cases of gallstone-induced pancreatitis with gallbladder stones. Cholecystectomy for gallstone-induced acute pancreatitis should be performed using a laparoscopic procedure as the first option as soon as the disease has subsided.

Original languageEnglish
Pages (from-to)60-69
Number of pages10
JournalJournal of Hepato-Biliary-Pancreatic Sciences
Volume17
Issue number1
DOIs
Publication statusPublished - Jan 1 2010

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All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Kimura, Y., Arata, S., Takada, T., Hirata, K., Yoshida, M., Mayumi, T., ... Ito, T. (2010). Gallstone-induced acute pancreatitis. Journal of Hepato-Biliary-Pancreatic Sciences, 17(1), 60-69. https://doi.org/10.1007/s00534-009-0217-0