Subscribe - the global online resource for all aspects of gastroenterology, hepatology and endoscopy

 21 April 2018

Advanced search - the global online resource for all aspects of gastroenterology, hepatology and endoscopy Profile of Roy Pounder


Review Articles
Slide Atlas
Video Clips
Online Books
Advanced Digestive Endoscopy
Classical Cases
Conference Diary
International GH Links
USA GH Links
National GH Links
National GI Societies
Other Useful Links

Emails on Gastroenterology and Hepatology
the National AIDS Treatment Advocacy Project
Visit the gastroenterology section of the EUMS

Question Time


Acute pancreatitis

Click a heading in the right-hand column to see the selected questions in that subject area

Please submit a new question (maximum 100 words) to Please note that this service is only for medically qualified professionals, and not for the general public. The questions should ask a technical question about a topic in gastroenterology, hepatology or endsocopy. You may nominate the expert from our Global Academic Faculty whom you would like us to contact for the first reply. Don't forget to include your full name, city, country and your email address.

What is the best management for unexplained recurrent acute pancreatitis? Is ERCP and sphincter of Oddi manometry, bile analysis for microlithiasis, and EUS required for all of these patients, or is ERCP and empiric sphincterotomy sufficient? When should empiric cholecystectomy be performed?

Mehdi Mohamadnejad, Tehran, Iran  29 October 2002

The management of this condition depends on more than this fact alone. There must be more clinical information to decide about a stepwise escalation of diagnostic tests, certainly not all tests are required under certain conditions. "Empiric" sphincterotomy or cholecystectomy should be avoided. The physician should define what he means by "unexplained" in the first instance.


Eckhart Hahn, Erlangen, Germany   29 October 2002

DISCLAIMER: Question Time is for information only and is not a substitute for specific medical advice and diagnosis from a medical practitioner. Neither the content providers nor the publisher accept any legal responsibility for nor make any warranty with respect to the views expressed or procedures outlined on the site.


Go to top of page Email this page Email this page to a colleague

Close folder Gastroenterology
Stomach & duodenum
Helicobacter pylori
Small intestine
Colo-rectum and anus
Inflammatory bowel disease
Functional bowel disorders
Symptoms/signs of gastrointestinal disease
Basic science
Close folder Hepatology
Biliary tract
Viral hepatitis
Liver diseases
Cirrhosis and portal hypertension
Liver transplantation
Liver & other diseases
Pediatric hepatology
Basic science
Close folder Endoscopy
Upper endoscopy
Endoscopic ultrasound
Practice issues

Blackwell Publishing is a Blackwell Publishing registered trademark
© 2018 Wiley-Blackwell and and contributors
Privacy Statement
About Us