Endoscopic biliary sphincterotomy and small-caliber pancreatic stenting versus sphincterotomy alone in patients with acute gallstone pancreatitis – A prospective nonrandomized stu…

Introduction: Patients (pts) with acute biliary pancreatitis (ABP) may benefit from early endoscopic sphincterotomy (EST) and pancreatic ductal decompression. The aim of the present pilot study was to assess the feasibility and safety of emergency ERCP and pancreatic duct (PD) stenting with small-caliber stents in ABP patients (pts) after biliary EST. Methods: 88 consecutive non-alcoholic pts with ABP (gallbladder stones or dilated CBD or CBD stones and concomitant early elevations (>1.5N) of obstructive LFTs) were referred for emergency ERCP. In 60 of these ABP pts, ERCP, EST and stone extraction were performed…