Curbside Consultation of the Pancreas: 49 Clinical Questions

Scott Tenner, MD, MPH; Alphonso Brown, MD, MS Clin Epi; Frank Gress, MD

Question 41: In A Patient With Gallstone Pancreatitis, When Should An Endoscopic Retrograde Cholangiopancreatography And/Or Magnetic Resonance Cholangiopancreatography Be Performed Preoperatively? (continued)

Nison Badalov, MD; Robin Baradarian, MD, FACG

Gallstones are the most common cause of acute pancreatitis worldwide. The pathogenesis has not be clearly established, however, a transient obstruction of the common channel, where the pancreatic and biliary ducts merge, has stood the test of time since its first description by Opie at the turn of the century. Despite the presence of a stone transiently causing obstruction, most stones pass out of the common bile duct (CBD), out of the common channel into the duodenum, passed in the stool. Identification of a biliary etiology of acute pancreatitis is important because recurrent episodes will…