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Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

332
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
332
Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

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The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
113
Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

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Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
186
Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

157
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
157
Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

148
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
148
Chronic Pancreatitis I: Introduction01:24

Chronic Pancreatitis I: Introduction

112
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
112

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Related Experiment Video

Updated: Jul 16, 2025

Laparoscopic Pancreatoduodenectomy With Modified Blumgart Pancreaticojejunostomy
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Endoscopy in Gallstone Pancreatitis.

Marco J Bruno1

  • 1Department of Gastroenterology & Hepatology, Erasmus University Medical Center, Doctor Molewaterplein 40, Rotterdam 3015 GD, the Netherlands.

Gastrointestinal Endoscopy Clinics of North America
|September 14, 2023
PubMed
Summary
This summary is machine-generated.

Urgent endoscopic retrograde cholangiopancreatography (ERC) is recommended for biliary pancreatitis with cholangitis. However, ERC is not indicated for biliary pancreatitis without cholangitis, even with evidence of gallstones or sludge.

Keywords:
Biliary pancreatitisCholedocholithiasisERCPGallstone pancreatitis

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Area of Science:

  • Gastroenterology
  • Hepatology
  • Endoscopic Procedures

Background:

  • Biliary pancreatitis stems from gallstones or sludge blocking the ampulla of Vater, impeding pancreatic duct outflow.
  • Current clinical practice requires refined guidelines for endoscopic retrograde cholangiopancreatography (ERC) in managing biliary pancreatitis.

Purpose of the Study:

  • To establish clear recommendations on the appropriate timing and indication for ERC in patients diagnosed with biliary pancreatitis.

Main Methods:

  • A systematic review and meta-analysis of recent studies and existing literature.
  • Evaluation of clinical outcomes based on the presence or absence of cholangitis and imaging findings.

Main Results:

  • Endoscopic retrograde cholangiopancreatography (ERC) is urgently indicated in patients with biliary pancreatitis and concurrent cholangitis.
  • Urgent ERC is not recommended for patients with predicted mild or severe biliary pancreatitis if cholangitis is absent, irrespective of endoscopic ultrasound (EUS) findings of stones or sludge.

Conclusions:

  • The presence or absence of cholangitis is the critical factor in deciding the urgency of ERC for biliary pancreatitis.
  • Guidelines should differentiate ERC indications based on associated cholangitis, optimizing patient management and resource allocation.