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Acute pancreatitis: Difference between revisions
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=== Treatment of biliary pancreatitis === | === Treatment of biliary pancreatitis === | ||
If the patient has concomitant cholangitis, they should be treated with urgent ERCP and sphincterotomy. In all cases of biliary pancreatitis, ERCP should be performed. Cholecystectomy should be performed after recovery of the acute illness. | If the patient has concomitant cholangitis, they should be treated with urgent [[ERCP]] and sphincterotomy. In all cases of biliary pancreatitis, ERCP should be performed. [[Cholecystectomy]] should be performed after recovery of the acute illness. | ||
In mild biliary pancreatitis, cholecystectomy is performed during the same admission, after the patient has stabilised. In severe biliary pancreatitis, early biliary surgery worsens the prognosis and so cholecystectomy is performed later as an elective procedure instead. Endoscopic sphincterotomy is an alternative for those unfit for surgery. | In mild biliary pancreatitis, cholecystectomy is performed during the same admission, after the patient has stabilised. In severe biliary pancreatitis, early biliary surgery worsens the prognosis and so cholecystectomy is performed later as an elective procedure instead. Endoscopic sphincterotomy is an alternative for those unfit for surgery. | ||
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Walled-off necrosis is similar to acute necrotic collection, but it’s encapsulated and occurs later (> 4 weeks). They may also become infected. | Walled-off necrosis is similar to acute necrotic collection, but it’s encapsulated and occurs later (> 4 weeks). They may also become infected. | ||
[[Category:Gastroenterology]] | <noinclude>[[Category:Gastroenterology]] | ||
[[Category:Gastrointestinal surgery]] | [[Category:Gastrointestinal surgery]]</noinclude> | ||