Current Management of Acute Gallstone Pancreatitis: Narrative Review Article

Acute gallstone pancreatitis is the most common cause of acute pancreatitis, and it is divided into mild and severe forms. The management of acute gallstone pancreatitis will initially include fluid resuscitation, supportive care, and analgesia, followed by definitive management. An endoscopic retrograde cholangiopancreatography (ERCP) is done to remove the stone in the ampulla of Vater. An urgent endoscopic retrograde cholangiopancreatography (ERCP) is performed for acute gallstone pancreatitis with cholangitis, while an early ERCP is done for mild and severe acute gallstone pancreatitis without cholangitis. Laparoscopic cholecystectomy is performed to prevent recurrence of acute gallstone pancreatitis, with early laparoscopic cholecystectomy being performed for mild acute gallstone pancreatitis and delayed laparoscopic cholecystectomy being done for severe acute gallstone pancreatitis. In this review ae will investigate the role of endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic cholecystectomy in the management of acute gallstone pancreatitis.