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Ampullary obstruction monitoring in acute gallstone pancreatitis: a safe, accurate, and reliable method to detect pancreatic ductal obstruction.

Authors
Type
Published Article
Journal
The American Journal of Gastroenterology
0002-9270
Publisher
Nature Publishing Group
Publication Date
Volume
95
Issue
1
Pages
122–127
Identifiers
PMID: 10638569
Source
Medline

Abstract

Clinical criteria and ordinary laboratory determinations are sufficiently accurate to discriminate between patients with AGP and those with other acute abdominal pathologies. Careful monitoring of patients' pain, quality of nasogastric aspirate, and serum bilirubin level can accurately identify the few cases with persistent ampullary obstruction. Those patients can then be selected for intervention to restore the ampullary patency and prevent progression of acute pancreatitis.

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