Abstract
Presence or absence of pancreatitis without symptoms attributable to pancreatitis was assessed by computed tomography (CT) in 31 patients who underwent CT following endoscopic retrograde cholangiopancreatography (ERCP) within a time interval of 0–9 days. Presence or absence of pancreatitis was proven by elevated or normal amylase, and/or surgery, and by symptoms related to pancreatitis. Twenty-five of the patients underwent ERCP without and six with sphincterotomies. Among the six patients, additional procedures included two stent placements, two balloon dilatations, and one basket retrieval. Eleven of 31 patients developed pancreatitis following ERCP. The incidence of pancreatitis was higher in the group with maneuvers (four of six patients or 66.7%) than that without maneuvers (seven of 25 or 28%). Asymptomatic pancreatitis was present in five of 31 patients or 16.1%, and three of these had CT evidence of severe pancreatitis. CT demonstration of pancreatitis following ERCP with or without maneuvers may not always indicate clinically relevant disease.
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References
Kullman E, Borch K, Tarpila E, Godberg G: Endoscopic sphincterotomy in the treatment of choledocholithiasis and ampullary stenosis.Acta Chir Scand 151:619–624, 1985
Kasugai T, Kuno N, Kobayashi S, Hattori K: Endoscopic pancreatocholangiography. I. The normal endoscopic pancreatocholangiogram.Gastroenterology 63:217–226, 1972
Seifert E: Endoscopic retrograde cholangiopancreatography.Am J Gastroenterol 68:542–549, 1977
Classen M, Koch H, Ruskin H, Pesch HJ, Demling L: Pancreatitis after endoscopic retrograde pancreatography (abstract).Gut 14:431, 1973
Makela P, Dean PB: The frequency of hyperamylasemia after ERCP with diatrizoate and iohexol.Eur J Radiol 6:303–304, 1986
Ruppin H, Amon R, Ettl W, Classen M, Demling L: Acute pancreatitis after endoscopic/radiological pancreaticography.Endoscopy 6:94–98, 1974
Kuhlman JE, Fishman EK, Milligan FD, Siegelman SS: Complications of endoscopic retrograde sphincterotomy: Computed tomographic evaluation.Gastrointest Radiol 14:127–132, 1989
Thoeni RF, Filson R: Abdominal and pelvic CT: Use of oral metoclopramide to enhance bowel opacification.Radiology 169:391–393, 1988
Clavien PA, Hauser H, Meyer P, Rohner A: Value of contrast-enhanced computerized tomography in the early diagnosis and prognosis of acute pancreatitis.Am J Surg 155:457–466, 1988
Balthazar EJ, Ranson JHC, Naidich DP, Megibow AJ, Caccavale R, Cooper MM: Acute pancreatitis: Prognostic value of CT.Radiology 156:767–772, 1985
Block S, Maier W, Büchler M, Krautzberger W, Bittner R, Malfertheiner P, Berger HG: Sensitivity of imaging procedures and clinical staging for necrotizing pancreatitis (abstract).Digestion 30:102, 1984
Freeny PC, Lawson TL:Radiology of the pancreas. New York: Springer-Verlag, 1982, pp 347–348
Ranson JHC, Balthazar E, Caccavale R, Cooper M: Computed tomography and the prediction of pancreatic abscess in acute pancreatitis.Ann Surg 201:656–665, 1985
Ranson JHC: Etiological and prognostic factors in human acute pancreatitis: A review.Am J Gastroenterol 77:633–638, 1982
Lambiase RE, Cronan JJ, Ridlen M: Perforation of the common bile duct during endoscopic sphincterotomy: Recognition of computed tomography and successful percutaneous treatment.Gastrointest Radiol 14:133–136, 1989
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Thoeni, R.F., Fell, S.C. & Goldberg, H.I. CT detection of asymptomatic pancreatitis following ERCP. Gastrointest Radiol 15, 291–295 (1990). https://doi.org/10.1007/BF01888800
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DOI: https://doi.org/10.1007/BF01888800