Timing ERCP u akutní biliární pankreatitidy
| Title in English | The timing of ERCP in acute biliary pancreatis |
|---|---|
| Authors | |
| Year of publication | 2019 |
| Type | Article in Periodical |
| Magazine / Source | Rozhledy v chirurgii |
| MU Faculty or unit | |
| Citation | |
| Web | https://www.prolekare.cz/casopisy/rozhledy-v-chirurgii/2019-1-3/timing-ercp-u-akutni-biliarni-pankreatitidy-107581 |
| Keywords | acute biliary pancreatitis; choledocholithiasis; cholangitis; endoscopic retrograde cholangiopancreatography |
| Description | Despite several studies, the role and timing of endoscopic retrograde cholangiopancreatography (ERCP) in the case of acute biliary pancreatis (ABP) remains a subject of discussion. There is a clear indication of early ERCP within 72 hours in patients with ABP andcholedochal obstruction moreover the ERCP within 24 hours in cases of cholangitis. However, the role of ERCP in patients with ABP without symptoms of cholangitis or concrement obstructing the bile duct is controversial. If ABP is indicated for the ERCP, the earlier the ERCP is performed the less complicationsit is a associated with. The decision to perform ERCP is often based on findings from a biochemical and transabdominal ultrasound examination. The results of these exasminations may, but not may not, confirm the presence of stones in the choledochus. An effective and safe method approaching the sensitivity of ERCP in the diagnosis of concrements in the choledochus is endoscopis ultrasonography (EUS) and magnetic resonance cholandgiopancreatography (MRCP). The cholecystectomy should be performed to prevent a recurrence of pancreatis and biliary problems after the successfully treatment of ABP. |