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)

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

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  • 2 Tenner S, Dubner H, Steinberg W. Predicting gallstone pancreatitis with laboratory parameters: a meta-analysis.  Am J Gastroenterol. 1994;  89 1863-1866
  • 3 Johnson C D. Antibiotic prophylaxis in severe acute pancreatitis.  Br J Surg. 1996;  83 883-884
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  • 5 Kelly T R, Wagner D S. Gallstone pancreatitis: a prospective, randomized trial of the timing of surgery.  Surgery. 1988;  104 600-605
  • 6 Mergener K, Baillie J. Endoscopic treatment for acute biliary pancreatitis: when, and in whom?.  Gastroenterol Clin N Am. 1999;  28 601-613
  • 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
  • 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
  • 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
  • 10 Fölsch T R. The role of ERCP and sphincterotomy in acute biliary pancreatitis.  Endoscopy. 1998;  30 A253-255
  • 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
  • 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
  • 13 Opie E L. The etiology of acute hemorrhagic pancreatitis.  Johns Hopkins Hosp Bull. 1901;  121 182-188
  • 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

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

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