Endoscopic therapy in acute recurrent pancreatitis
1Hepatobiliary and Pancreatic Disorders Service, Wake Forest University Health Sciences, Winston-Salem, North Carolina 27157, United States. jbaillie@wfubmc.edu
World Journal of Gastroenterology
|February 21, 2008
Summary
Endoscopic retrograde cholangiopancreatography (ERCP) is now primarily a therapeutic tool, not diagnostic. It remains the first-line treatment for mechanical causes of acute recurrent pancreatitis.
Area of Science:
- Gastroenterology
- Endoscopy
- Pancreatology
Background:
- Endoscopic retrograde cholangiopancreatography (ERCP) has transitioned from a diagnostic to a therapeutic procedure.
- Diagnostic roles have been largely assumed by cross-sectional imaging (CT, MRI) and endoscopic ultrasound (EUS).
Purpose of the Study:
- To highlight the continued therapeutic significance of ERCP.
- To delineate the specific conditions where ERCP remains the primary intervention.
Main Methods:
- Review of the current role of ERCP in gastroenterological practice.
- Analysis of therapeutic indications for ERCP in pancreatobiliary disorders.
Main Results:
- ERCP is no longer the primary diagnostic tool for pancreatobiliary conditions.
- ERCP is the established first-line therapy for mechanical causes of acute recurrent pancreatitis.
Conclusions:
- ERCP maintains its crucial role as a therapeutic modality.
- It is indispensable for managing choledocholithiasis, ampullary masses, anatomical variants, sphincter of Oddi dysfunction, pancreatic stones/strictures, and parasitic infections.
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