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GALLSTONE PANCREATITIS: A PROPOSED MANAGEMENT STRATEGY
Author(s) -
Windsor John A.
Publication year - 1990
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1990.tb07437.x
Subject(s) - medicine , pancreatitis , acute pancreatitis , cholecystectomy , general surgery , intervention (counseling) , intensive care medicine , surgery , nursing
It has been usual practice to manage gallstone pancreatitis conservatively over the acute phase and to perform an elective cholecystectomy after an interval of 2–3 months. Because of the risks of recurrent pancreatitis, and in an effort to reduce the high morbidity and mortality associated with severe pancreatitis, there has been a trend towards early surgical intervention and, more recently, endoscopic sphincterotomy. From the Greenlane Hospital experience during 1979–1987, and from a review of recent literature, a strategy is proposed for the management of acute gallstone pancreatitis.