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 28 November 2015

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Question Time


Acute pancreatitis

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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.


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