[PDF] Endoscopic management of acute necrotizing pancreatitis : European Society of Gastrointestinal Endoscopy (ESGE) evidence-based multidisciplinary guideline

Source:
European Society of Gastrointestinal Endoscopy
Publisher:
European Society of Gastrointestinal Endoscopy
Publication date:
01 May 2018

Abstract

ESGE suggests using contrast-enhanced computed tomography (CT) as the first-line imaging modality on admission when indicated and up to the 4th week from onset in the absence of contraindications. Magnetic resonance imaging (MRI) may be used instead of CT in patients with contraindications to contrast-enhanced CT, and after the 4th week from onset when invasive intervention is considered because the contents (liquid vs. solid) of pancreatic collections are better characterized by MRI and evaluation of pancreatic duct integrity is possible. Weak recommendation, low quality evidence.