Download PDF
Endoscopy 2000; 32(9): 731-735
DOI: 10.1055/s-2000-7031
Evidence-Based Endoscopy
Georg Thieme Verlag Stuttgart ·New York

A Case of Severe Gallstone Pancreatitis

K. Mergener, J. Baillie
  • 1 Medizinische Klinik und Poliklinik, Johannes Gutenberg Universität, Mainz, Germany
  • 2 Dept. of Medicine, Duke University Medical Center, Durham, North Carolina, United States
In this series we ask one or more experts to review a case. They are provided with information on which further management is to be based, and asked to explain their rationale, using the available evidence in the literature. What was actually done in the case is then revealed.
Further Information

Publication History

Publication Date:
31 December 2000 (online)

Also available at
   Permissions and Reprints
Preview

Moderator's Introduction

I am pleased to welcome as our Guest Discussant a former trainee of mine, and now a colleague, Dr Klaus Mergener, who is currently Chief of Endoscopy at the Johannes Gutenberg University Medical Clinic in Mainz, Germany. Dr Mergener developed a special interest in acute pancreatitis during his Advanced Endoscopy Fellowship at Duke University Medical Center, and has written a number of excellent papers and reviews on the subject. Welcome, Dr Mergener.

References

  • 1 Mergener K, Baillie J. Fortnightly review: acute pancreatitis.  Br Med J. 1998;  316 44-48
    PubMedSearch in Google Scholar
  • 2 Tenner S, Dubner H, Steinberg W. Predicting gallstone pancreatitis with laboratory parameters: a meta-analysis.  Am J Gastroenterol. 1994;  89 1863-1866
    PubMedSearch in Google Scholar
  • 3 Johnson C D. Antibiotic prophylaxis in severe acute pancreatitis.  Br J Surg. 1996;  83 883-884
    PubMedSearch in Google Scholar
  • 4 Ranson J HC. Etiologic and prognostic factors in human acute pancreatitis: a review.  Am J Gastroenterol. 1982;  77 633-638
    PubMedSearch in Google Scholar
  • 5 Kelly T R, Wagner D S. Gallstone pancreatitis: a prospective, randomized trial of the timing of surgery.  Surgery. 1988;  104 600-605
    PubMedSearch in Google Scholar
  • 6 Mergener K, Baillie J. Endoscopic treatment for acute biliary pancreatitis: when, and in whom?.  Gastroenterol Clin N Am. 1999;  28 601-613
    Search in Google Scholar
  • 7 Neoptolemos J P, Carr-Locke D L, London N J, et al. Controlled trial of urgent endoscopic retrograde cholangiopancreatography and endoscopic sphincterotomy versus conservative treatment for acute pancreatitis due to gallstones.  Lancet. 1988;  2 979-983
    Search in Google Scholar
  • 8 Fan S T, Lai E CS, Mok F PT, et al. Early treatment of acute biliary pancreatitis by endoscopic papillotomy.  N Engl J Med. 1993;  328 228-232
    Search in Google Scholar
  • 9 Fölsch U, Nitsche R, Ludtke R, et al. Early ERCP and papillotomy compared with conservative treatment for acute biliary pancreatitis.  N Engl J Med. 1997;  336 237-242
    Search in Google Scholar
  • 10 Fölsch T R. The role of ERCP and sphincterotomy in acute biliary pancreatitis.  Endoscopy. 1998;  30 A253-255
    PubMedSearch in Google Scholar
  • 11 Nowak A, Nowakowska-Dulawa E, Marek T, et al. Final results of the prospective randomized controlled study on endoscopic sphincterotomy versus conventional management in acute biliary pancreatitis (abstract).  Gastroenterology. 1995;  108 8380
    PubMedSearch in Google Scholar
  • 12 Nowak A, Marek T A, Nowakowska-Dulawa E, et al. Biliary pancreatitis needs endoscopic retrograde cholangiopancreatography with endoscopic sphincterotomy for cure.  Endoscopy. 1998;  30 (9) A256-259
    PubMedSearch in Google Scholar
  • 13 Opie E L. The etiology of acute hemorrhagic pancreatitis.  Johns Hopkins Hosp Bull. 1901;  121 182-188
    PubMedSearch in Google Scholar
  • 14 Simchuk E J, Traverso W, Kozarek R. Pancreatic ductal leak - a finding that should be sought in patients with acute pancreatitis.  Gastroenterology. 2000;  118 (4) Suppl 2 (2) A1532
    PubMedSearch in Google Scholar

J. Baillie, M.B., Ch.B., F.R.C.P.

Dept. of Medicine Division of Gastroenterology Duke University Medical Center

Box 3189, DUMC

Durham, North Carolina 27710

USA

Fax: Fax:+ 1-919-684-4695/681-8785

Email: E-mail:baill001@mc.duke.edu

K. Mergener, M.D.

I. Medizinische Klinik und Poliklinik Johannes-Gutenberg-Universität

Langenbeckstrasse 1

55101 Mainz

Germany

Fax: Fax: + 49-6131-175552

Email: E-mail: mergener@mail.uni-mainz.de