[Early endoscopic retrograde cholangiopancreatography in acute pancreatitis]

Based on a prospective trial on 91 patients diagnostic and therapeutic evaluation of ERCP in the early phase of acute pancreatitis was carried out. Detection of biliary stone disease and visualization of tumours of the papilla or main bile duct leads to therapeutic consequences (Papillotomy, exstirpation of the tumour). In addition to that, ERCP yields radiomorphologic informations, which seem to be typical for necrotizing pancreatitis. Showing a correlation to severity and prognosis of necrotizing pancreatitis these informations can be used for planning surgical tactics in the course of the disease.