Diagnostic approach to patients with acute idiopathic and recurrent pancreatitis, what should be done?
- PMID: 18286679
- PMCID: PMC2689400
- DOI: 10.3748/wjg.14.1007
Diagnostic approach to patients with acute idiopathic and recurrent pancreatitis, what should be done?
Abstract
Acute recurrent pancreatitis (ARP) is a common clinical condition that may be difficult to diagnose. Endoscopic ultrasound (EUS) is proposed to be a safe first line test of choice in the majority of patients. When interventions are needed to remove biliary stones, evaluate sphincter of Oddi or pancreas divisum, endoscopic retrograde cholangiopancreatography (ERCP) is recommended. Magnetic resonance cholangiopancreatography (MRCP) can be a suitable alternative from a diagnostic standpoint although may not be widely available. Finally, genetic testing is increasingly used to detect certain mutations that are associated with this diagnosis.
References
-
- Venu RP, Geenen JE, Hogan W, Stone J, Johnson GK, Soergel K. Idiopathic recurrent pancreatitis. An approach to diagnosis and treatment. Dig Dis Sci. 1989;34:56–60. - PubMed
-
- Steinberg WM, Chari ST, Forsmark CE, Sherman S, Reber HA, Bradley EL 3rd, DiMagno E. Controversies in clinical pancreatology: management of acute idiopathic recurrent pancreatitis. Pancreas. 2003;27:103–117. - PubMed
-
- Bank S, Wise L, Gersten M. Risk factors in acute pancreatitis. Am J Gastroenterol. 1983;78:637–640. - PubMed
-
- Gullo L, Migliori M, Pezzilli R, Olah A, Farkas G, Levy P, Arvanitakis C, Lankisch P, Beger H. An update on recurrent acute pancreatitis: data from five European countries. Am J Gastroenterol. 2002;97:1959–1962. - PubMed
-
- Tandon M, Topazian M. Endoscopic ultrasound in idiopathic acute pancreatitis. Am J Gastroenterol. 2001;96:705–709. - PubMed
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous
