Early ERCP and Papillotomy for Acute Biliary Pancreatitis
To the Editor: Fölsch et al. (Jan. 23 issue) 1 concluded that in patients with acute biliary pancreatitis but without obstructive jaundice, early endoscopic retrograde cholangiopancreatography (ERCP) and papillotomy were not beneficial. Unfortunately, their report falls short of providing the necess...
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| Veröffentlicht in: | The New England journal of medicine 1997-06, Vol.336 (25), p.1835-1836 |
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| container_title | The New England journal of medicine |
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| creator | Tarnasky, P R Cotton, P B |
| description | To the Editor:
Fölsch et al. (Jan. 23 issue)
1
concluded that in patients with acute biliary pancreatitis but without obstructive jaundice, early endoscopic retrograde cholangiopancreatography (ERCP) and papillotomy were not beneficial. Unfortunately, their report falls short of providing the necessary data to support this conclusion.
More specific information about the timing of ERCP is required. Acinar-cell injury occurs early (within hours) after pancreatic ductal obstruction in experimental studies of acute biliary pancreatitis.
2
In the study by Fölsch et al., patients in the invasive-treatment group underwent ERCP within 72 hours after the onset of pain. What was the median delay (and . . . |
| doi_str_mv | 10.1056/NEJM199706193362515 |
| format | Article |
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Fölsch et al. (Jan. 23 issue)
1
concluded that in patients with acute biliary pancreatitis but without obstructive jaundice, early endoscopic retrograde cholangiopancreatography (ERCP) and papillotomy were not beneficial. Unfortunately, their report falls short of providing the necessary data to support this conclusion.
More specific information about the timing of ERCP is required. Acinar-cell injury occurs early (within hours) after pancreatic ductal obstruction in experimental studies of acute biliary pancreatitis.
2
In the study by Fölsch et al., patients in the invasive-treatment group underwent ERCP within 72 hours after the onset of pain. What was the median delay (and . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJM199706193362515</identifier><identifier>PMID: 9190498</identifier><language>eng</language><publisher>United States: Massachusetts Medical Society</publisher><subject>Acute Disease ; Cholangiopancreatography, Endoscopic Retrograde ; Gallstones - complications ; Gallstones - therapy ; Humans ; Pancreatitis - etiology ; Pancreatitis - therapy ; Sphincterotomy, Endoscopic</subject><ispartof>The New England journal of medicine, 1997-06, Vol.336 (25), p.1835-1836</ispartof><rights>Copyright © 1997 Massachusetts Medical Society. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-dd2eeb5ea0db37254466119fc36f4727c99d7d9a527693347c56189c91deb32b3</citedby><cites>FETCH-LOGICAL-c375t-dd2eeb5ea0db37254466119fc36f4727c99d7d9a527693347c56189c91deb32b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJM199706193362515$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.nejm.org/doi/full/10.1056/NEJM199706193362515$$EHTML$$P50$$Gmms$$H</linktohtml><link.rule.ids>314,780,784,2759,2760,26103,27924,27925,52382,54064,64387</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9190498$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tarnasky, P R</creatorcontrib><creatorcontrib>Cotton, P B</creatorcontrib><title>Early ERCP and Papillotomy for Acute Biliary Pancreatitis</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>To the Editor:
Fölsch et al. (Jan. 23 issue)
1
concluded that in patients with acute biliary pancreatitis but without obstructive jaundice, early endoscopic retrograde cholangiopancreatography (ERCP) and papillotomy were not beneficial. Unfortunately, their report falls short of providing the necessary data to support this conclusion.
More specific information about the timing of ERCP is required. Acinar-cell injury occurs early (within hours) after pancreatic ductal obstruction in experimental studies of acute biliary pancreatitis.
2
In the study by Fölsch et al., patients in the invasive-treatment group underwent ERCP within 72 hours after the onset of pain. What was the median delay (and . . .</description><subject>Acute Disease</subject><subject>Cholangiopancreatography, Endoscopic Retrograde</subject><subject>Gallstones - complications</subject><subject>Gallstones - therapy</subject><subject>Humans</subject><subject>Pancreatitis - etiology</subject><subject>Pancreatitis - therapy</subject><subject>Sphincterotomy, Endoscopic</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9ULtOwzAUtRColMIXIKRMLCjgt3tHqMJLBSoEc-TYjpQqToqdDP17jFoxIe5yhvPQPQehc4KvCRby5rV4fiEACksCjEkqiDhAUyIYyznH8hBNMabznCtgx-gkxjVORzhM0AQIYA7zKYJCh3abFe-LVaY7m630pmnbfuj9Nqv7kN2acXDZXdM2OmwT25ng9NAMTTxFR7Vuozvb4wx93hcfi8d8-fbwtLhd5oYpMeTWUucq4TS2FVNUcC4lIVAbJmuuqDIAVlnQgiqZWnBlhCRzMECsqxit2Axd7nI3of8aXRxK30Tj2lZ3rh9jqVITSihLQrYTmtDHGFxdbkLj09slweXPYOUfgyXXxT5-rLyzv579Qom_2vHex7Jza_9v2jdix3Bv</recordid><startdate>19970619</startdate><enddate>19970619</enddate><creator>Tarnasky, P R</creator><creator>Cotton, P B</creator><general>Massachusetts Medical Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19970619</creationdate><title>Early ERCP and Papillotomy for Acute Biliary Pancreatitis</title><author>Tarnasky, P R ; Cotton, P B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-dd2eeb5ea0db37254466119fc36f4727c99d7d9a527693347c56189c91deb32b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Acute Disease</topic><topic>Cholangiopancreatography, Endoscopic Retrograde</topic><topic>Gallstones - complications</topic><topic>Gallstones - therapy</topic><topic>Humans</topic><topic>Pancreatitis - etiology</topic><topic>Pancreatitis - therapy</topic><topic>Sphincterotomy, Endoscopic</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tarnasky, P R</creatorcontrib><creatorcontrib>Cotton, P B</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tarnasky, P R</au><au>Cotton, P B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early ERCP and Papillotomy for Acute Biliary Pancreatitis</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>1997-06-19</date><risdate>1997</risdate><volume>336</volume><issue>25</issue><spage>1835</spage><epage>1836</epage><pages>1835-1836</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><abstract>To the Editor:
Fölsch et al. (Jan. 23 issue)
1
concluded that in patients with acute biliary pancreatitis but without obstructive jaundice, early endoscopic retrograde cholangiopancreatography (ERCP) and papillotomy were not beneficial. Unfortunately, their report falls short of providing the necessary data to support this conclusion.
More specific information about the timing of ERCP is required. Acinar-cell injury occurs early (within hours) after pancreatic ductal obstruction in experimental studies of acute biliary pancreatitis.
2
In the study by Fölsch et al., patients in the invasive-treatment group underwent ERCP within 72 hours after the onset of pain. What was the median delay (and . . .</abstract><cop>United States</cop><pub>Massachusetts Medical Society</pub><pmid>9190498</pmid><doi>10.1056/NEJM199706193362515</doi><tpages>2</tpages></addata></record> |
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| identifier | ISSN: 0028-4793 |
| ispartof | The New England journal of medicine, 1997-06, Vol.336 (25), p.1835-1836 |
| issn | 0028-4793 1533-4406 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; ProQuest Central UK/Ireland; New England Journal of Medicine |
| subjects | Acute Disease Cholangiopancreatography, Endoscopic Retrograde Gallstones - complications Gallstones - therapy Humans Pancreatitis - etiology Pancreatitis - therapy Sphincterotomy, Endoscopic |
| title | Early ERCP and Papillotomy for Acute Biliary Pancreatitis |
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