الفهرس 
Introduction & rationaleOnly 14 pages are availabe for public view
 |  | from | 100 |  |  |
| | | from | 100 | | |
Abstract
Acute gallstone pancreatitis is the most common cause of acute pancreatitis which occurs because of temporary ampullary obstruction by a stone or sludge and bile reflux into or elevated hydrostatic pressure in the pancreatic duct (Lee et al., 2018 and petrove et al., 2008). Bile duct stones & and sludge can be removed by ERCP ± ES with better outcome. (Lee et al., 2018).
This study was concerned with the assessment of the outcome of early ERCP VS conservative management in patients with acute gallstone pancreatitis.
This study included 40 patients admitted to Suez Canal University hospitals with acute gallstone pancreatitis between January 2020 and January 2022. A written informed consent was taken from all the patients. Patient demographic details, signs, symptoms, and detailed history were recorded. Laboratory investigations including a complete blood count, serum amylase or lipase, renal profile, liver function tests, and serum electrolytes were done and data was recorded. Further radiological evaluation was done with abdominal U/S for all patients, while contrast-enhanced abdominal CT was used for 3 patients who could not be properly assessed by U/S due to gases (which obscure the biliary tree and pancreas).
The study demonstrated that early ERCP was safe and reduced complications and hospital stays in mild acute gallstone pancreatitis with statistical significance in comparison to conservative management. Also, it showed that ERCP had no dramatic effect on mortality in comparison with conservative management.