Endoscopic Sphincterotomy Permits Interval Laparoscopic Cholecystectomy in Patients With Moderately Severe Gallstone Pancreatitis

Heider, T. Ryan; Brown, Alphonso; Grimm, Ian S.; Behrns, Kevin E.

doi:10.1016/j.gassur.2005.10.009

Cited by 39 publications

(20 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Therefore, ERCP and sphincterotomy as definitive treatment in acute severe biliary pancreatitis is at present recommended in patients unfit for cholecystectomy, with severe comorbidity or in necrotizing pancreatitis[5,6,47,48]. …”

Section: Outcomes After Different Management Plansmentioning

confidence: 99%

See 1 more Smart Citation

Management of patients after recovering from acute severe biliary pancreatitis

Dedemadi

Nikolopoulos

Kalaitzopoulos

et al. 2016

WJG

View full text Add to dashboard Cite

Cholelithiasis is the most common cause of acute pancreatitis, accounting 35%-60% of cases. Around 15%-20% of patients suffer a severe attack with high morbidity and mortality rates. As far as treatment is concerned, the optimum method of late management of patients with severe acute biliary pancreatitis is still contentious and the main question is over the correct timing of every intervention. Patients after recovering from an acute episode of severe biliary pancreatitis can be offered alternative options in their management, including cholecystectomy, endoscopic retrograde cholangiopancreatography (ERCP) and sphincterotomy, or no definitive treatment. Delaying cholecystectomy until after resolution of the inflammatory process, usually not earlier than 6 wk after onset of acute pancreatitis, seems to be a safe policy. ERCP and sphincterotomy on index admission prevent recurrent episodes of pancreatitis until cholecystectomy is performed, but if used for definitive treatment, they can be a valuable tool for patients unfit for surgery. Some patients who survive severe biliary pancreatitis may develop pseudocysts or walled-off necrosis. Management of pseudocysts with minimally invasive techniques, if not therapeutic, can be used as a bridge to definitive operative treatment, which includes delayed cholecystectomy and concurrent pseudocyst drainage in some patients. A management algorithm has been developed for patients surviving severe biliary pancreatitis according to the currently published data in the literature.

show abstract

Section: Outcomes After Different Management Plansmentioning

confidence: 99%

“…A recurrent rate of acute biliary pancreatitis, between 0% and 7% was observed in patients who had ERCP and sphincterotomy at index admission but did not receive cholecystectomy[8,19,47,48,50,52]. The risk of recurrent pancreatitis was reduced after sphincterotomy[7,9,19,48,49].…”

Section: Outcomes After Different Management Plansmentioning

confidence: 99%

Management of patients after recovering from acute severe biliary pancreatitis

Dedemadi

Nikolopoulos

Kalaitzopoulos

et al. 2016

WJG

View full text Add to dashboard Cite

show abstract

“…Egy 30 beteget magába foglaló retrospektív tanulmány, rutin ERCP-t és sphincterotomiát követően, nem tapasztalt visszatérő biliaris pancreatitist a tervezett cholecystectomiáig eltelt várakozási idő alatt [54].…”

Section: Feltételezett Vagy Igazolt Infektált Pancreas-unclassified

Acute pancreatitis.Evidence based management guidelines of the Hungarian Pancreatic Study Group

et al. 2015

View full text Add to dashboard Cite

A heveny hasnyálmirigy-gyulladás, mint az egyik leggyakoribb akut emésztőszervi kórkép, amelyet szignifi káns morbiditás és mortalitás jellemez, korszerű és bizonyítékokon alapuló kezelési útmutatót igényel. A Magyar Hasnyálmirigy Munkacsoport célul tűzte ki, hogy a jelenleg elérhető nemzetközi irányvonalakat, illetve evidenciákat alapul véve az akut pancreatitis konzervatív és sebészi kezelésének kulcskérdései vonatkozásában bizonyítékalapú irányelveket fogalmazzon meg. A Magyar Hasnyálmirigy Munkacsoport által kijelölt előkészítő és konzulens munkacsoport lefordította, és ahol szükségesnek találta, kiegészítette és/vagy módosította a nemzetközi irányelveket. Összesen 11 témakörben (Diagnózis és etiológia, Prognózis, Képalkotók, Folyadékterápia, Intenzív kezelés, Fertőzéses szövődmények megelő-zése, Táplálás, Epeúti beavatkozások, Endoszkópos retrográd cholangiopancreatographiát követő pancreatitis, Intervenció indikációi, időzítése és stratégiája nekrotizáló pancreatitisben, Cholecystectomia [vagy endoszkópos sphincterotomia] időzítése) 42 releváns kérdést állított össze. Az evidencia osztályozását az UpToDate ® rendszere alapján határozta meg. Az irányelvek a 2014. szeptember 12-ei konszenzustalálkozón kerültek bemutatásra és megvitatásra. A résztvevők 25 kérdést csaknem teljes egyetértéssel (95% felett), míg 17 kérdést erős egyetértéssel (70% felett) fogadtak el. A Magyar Hasnyálmirigy Munkacsoport jelen kezelési irányelve az első, bizonyítékon alapuló akut pancreatitiskezelési útmutató hazánkban. Az irányelv komoly segítséget nyújt az akut pancreatitis oktatásához, a mindennapi betegellátáshoz és a megfelelő fi nanszírozás kialakításához, ezért a szerzők bíznak abban, hogy ezen irányelvek minél széle-sebb körben alapreferenciaként szolgálnak majd majd Magyarországon. Orv. Hetil., 2015, 156(7), 244-261.Kulcsszavak: bizonyítékon alapuló orvoslás, kezelési irányelvek, akut pancreatitis Acute pancreatitis Evidence based management guidelines of the Hungarian Pancreatic Study Group 2014Acute pancreatitis is one of the most common diseases of the gastrointestinal tract associated with signifi cant morbidity and mortality that requires up-to-date and evidence based treatment guidelines. The Hungarian Pancreatic Study Group proposed to prepare evidence based guideline for the medical and surgical management of acute pancreatitis

show abstract

“…Probably NSAIDs should be administered before the procedure (indomethacin 100 mg or diclofenac 100 mg). 140 ERCP is also indicated in case of residual common bile duct stones after cholecystectomy. ERCP indications for acute biliary pancreatitis are: pancreatitis with biliary obstruction signs associated with fever (urgent-within 24-72 h); pancreatitis with biliary persistent signs of biliary obstruction (election-timing undefined).…”

Section: Gallstonesmentioning

confidence: 99%

The management of the patient with acute pancreatitis: from evidence to clinical practice

Cenci

Restuccia

Gnerre³

et al. 2017

Ital J Med

View full text Add to dashboard Cite

Acute pancreatitis is an inflammatory disorder of the pancreas characterized by abdominal pain and elevation of pancreatic enzymes in the blood. The pathogenesis is complex and partly unknown and the evolution is often unpredictable. Many efforts have been made to define this disease and its complications and to classify different grades of severity in order to formulate prognostic scores that could guide the physician in choosing the optimal therapeutic setting and procedures. The management of the patient with pancreatitis is not always optimal and differs among internist, gastroenterologist or surgeon. We think that a patient with clinical suspicion of acute pancreatitis is admitted to medical or surgical department depending on the availability of beds and not according to evidence-based medicine. The aim of this monograph is to identify the optimal management of patients with acute pancreatitis admitted to hospital.

show abstract

Endoscopic Sphincterotomy Permits Interval Laparoscopic Cholecystectomy in Patients With Moderately Severe Gallstone Pancreatitis

Cited by 39 publications

References 22 publications

Management of patients after recovering from acute severe biliary pancreatitis

Management of patients after recovering from acute severe biliary pancreatitis

Acute pancreatitis.Evidence based management guidelines of the Hungarian Pancreatic Study Group

The management of the patient with acute pancreatitis: from evidence to clinical practice

Contact Info

Product

Resources

About