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Acute biliary pancreatitis, endoscopy, and laparoscopy

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Abstract

Current practices for diagnosis and treatment of common bile duct stones are not evidence-based. Acute billary pancreatitis (ABP) is a specific situation in which endoscopic procedures are either overused or misused. Pancreatitis is a poor marker for choledocholithiasis. Prognostic systems are accurate to discern those patients with ABP who do not need aggressive procedures. Patients with a benign ABP do not need an endoscopic approach. Laparoscopic common bile duct exploration is an underrated treatment for patients with choledocholithiasis. Laparoscopic approach to infected necrotic collections and pseudocysts warrant futher investigations.

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  1. Department of Visceral Surgery ‘A’, Hôpital Saint-Eloi, University Hospital Center Montpellier, Avenue Augustin Fliche 80, F-34295 Montpellier Cedex 5, France

    F. Borie & B. Millat

  2. Department of Gastrointestinal Surgery, Centre Hospitalier Intercommunal Poissy, 10 rue du champ Gaillard, 78303 Poissy, France

    A. Fingerhut

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Borie, F., Fingerhut, A. & Millat, B. Acute biliary pancreatitis, endoscopy, and laparoscopy . Surg Endosc 17, 1175–1180 (2003). https://doi.org/10.1007/s00464-002-9207-x

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