Hosam
Forum Newbie
Topics: 4
Posts: 21
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A pt with acuta pacreatits, you find that he has common bile duct stones.
What is the next step?
-Observation or
-immediate ERCP?
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| no more a loser
Forum Guru
Topics: 140
Posts: 580
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ERCP should be considered if there is a stone in common bile duct
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| zaki
Forum Guru
Topics: 92
Posts: 398
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very controversial question some authorites recomnend immediate ERCP while other continue to tx pancreatits and ercp at the later stage and then followed by the cholecystectomy.
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Maverick
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| Hosam
Forum Newbie
Topics: 4
Posts: 21
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Thanks
Yes Zaki, you get it, but this is a Q in a real exam, so which one we had to chose.
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| zaki
Forum Guru
Topics: 92
Posts: 398
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if qs like that appears in steps i will go for ERCP.
if u know the answere then plz let me know and its reasons ofcourse
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Maverick
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| veri
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I would choose observation because ercp is dangerous in the first days of pancreatitis and should be avoided.
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is the qs say on the first day, its simply ask what your next step.
and ercp in acute pancreatits in experts hand is not much dangerous
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