Acute Relapsing Pancreatitis - Touch Gastroenterology

In conclusion, ARP should be evaluated in specialist
referral centres as diagnosis is time-consuming,
usually expensive and may expose the patient to a
substantial morbidity. Future prospective clinical
trials should define which patients with idiopathic
ARP (whether or not it is associated with
References
BUSINESS BRIEFING: EUROPEAN GASTROENTEROLOGY REVIEW 2005
Acute Relapsing Pancreatitis
anatomical variants) are most likely to benefit from
endoscopic intervention. These studies should allow
appropriate patient selection and the development
of novel, effective, preventive and therapeutic
strategies to improve the clinical condition of
these patients. ■
1. Andersson R, Andersson B, Haraldsen P, Drewsen G, Eckerwall G, “Incidence, management and recurrence rate of acute
pancreatitis”, Scand. J. Gastroenterol. (2004);39: pp. 891–894.
2. Khalid A, Slivka A, “Approach to idiopathic recurrent pancreatitis”, Gastrointest. Endoscopy Clin. N. Am.
(2003);13: pp. 695–716.
3. Tarnasky P R, Hawes R H, “Endoscopic diagnosis and therapy of unexplained (idiopathic) acute pancreatitis”,
Gastrointest. Endoscopy Clin. N. Am. (1998);8: pp. 13–37.
4. Somogyi L, Martin S P, Venkatesan T, Ulrich II C D, “Recurrent acute pancreatitis: an algorithmic approach to
identification and elimination of inciting factors”, Gastroenterology (2001);120: pp. 708–717.
5. Bank S, Indaram A, “Causes of acute and recurrent pancreatitis. Clinical considerations and clues to diagnosis”,
Gastroenterol. Clin. N. Am. (1999);28: pp. 572–589.
6. Testoni P A, Caporuscio S, Bagnolo F, Lella F, “Idiopathic recurrent pancreatitis: long-term results after ERCP, endoscopic
sphincterotomy, or ursodeoxycholic acid treatment”, Am. J. Gastroenterol. (2000);95: pp. 1,702–1,707.
7. Lee S P, Nicholls J F, Park H Z, “Biliary sludge as a cause of acute pancreatitis”, N. Engl. J. Med. (1992);326: pp.
589–593.
8. Levy M J, Geenen J E, “Idiopathic acute recurrent pancreatitis”, Am. J. Gastroenterol. (2001);96: pp. 2,540–2,555.
9. Chen J W C, Saccone G T P, Toouli J, “Sphincter of Oddi dysfunction and acute pancreatitis”, Gut (1998);43: pp.
305–308.
10. Hogan W J, Sherman S, Pasricha P, Carr-Locke D L, “Sphincter of Oddi manometry”, Gastrointest. Endosc.
(1997);45: pp. 342–348.
11. Petersen B T, “Sphincter of Oddi dysfunction, part 2: evidence-based review of the presentations with ‘objective’ pancreatic
findings (types I and II) and of presumptive type III”, Gastrointest. Endosc. (2004);59: pp. 670–687.
12. Delhaye M, Engelholm L, Cremer M, “Pancreas divisum: congenital anatomic variant or anomaly? Contribution of
endoscopic retrograde dorsal pancreatography”, Gastroenterology (1985);89: pp. 951–958.
13. Klein S D, Affronti J P, “Pancreas divisum, an evidence-based review: part I, pathophysiology”, Gastrointest. Endosc.
(2004);60: pp. 419–425.
14. Cotton P B, “Congenital anomaly of pancreas divisum as cause of obstructive pain and pancreatitis”, Gut (1980);21: pp.
105–114.
15. Matos C, Metens T, Devière J, Delhaye M, Le Moine O, Cremer M, “Pancreas divisum: evaluation with secretinenhanced
magnetic resonance cholangiopancreatography”, Gastrointest. Endosc. (2001),53: pp. 728–733.
16. Delhaye M, Engelholm L, Cremer M, “Pancreas divisum: controversial clinical significance”, Dig. Dis. (1988);6: pp.
30–39.
17. Matos C, Metens T, Devière J, Nicaise N, Braudé P, Van Yperen G, Cremer M, Struyven J, “Pancreatic duct:
morphologic and functional evaluation with dynamic MR pancreatography after secretin stimulation”, Radiology
(1997);203: pp. 435–441.
18. Delhaye M, Matos C, Devière J, “Acute relapsing pancreatitis. Congenital variants: diagnosis, treatment, outcomes”, J.
Pancreas (2001);2: pp. 373–381.
19. Farrell J J, Brugge W R, “Intraductal papillary mucinous tumor of the pancreas”, Gastrointest. Endosc. (2002);55: pp.
701–714.
20. Coyle W J, Pineau B C, Tarnasky P R, Knapple W L, Aabakken L, Hoffman B J, Cunningham J T, Hawes R H,
Cotton P B, “Evaluation of unexplained acute and acute recurrent pancreatitis using endoscopic retrograde
cholangiopancreatography, sphincter of Oddi manometry and endoscopic ultrasound”, Endoscopy (2002);34: pp. 617–623.
21. Arvanitakis M, Delhaye M, De Maertelaere V, Bali M, Winant C, Coppens E, Jeanmart J, Zalcman M, Van Gansbeke
D, Devière J, Matos C, “Computed tomography and magnetic resonance imaging in the assessment of acute pancreatitis”,
Gastroenterology (2004);126: pp. 715–723.
22. Yusoff I F, Raymond G, Sahai A V, “A prospective comparison of the yield of EUS in primary vs. recurrent idiopathic
acute pancreatitis”, Gastrointest. Endosc. (2004);60: pp. 673–678.
23. Costamagna G, Ingrosso M, Tringali A, Multignani M, Manfredi R, “Santorinicele and recurrent acute pancreatitis in
pancreas divisum: diagnosis with dynamic secretin-stimulated magnetic resonance cholangiopancreatography and endoscopic
treatment”, Gastrointest. Endosc. (2000);52: pp. 262–267.
6