0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Gallstone Pancreatitis

Thomas R. Kelly, MD, MSc
Arch Surg. 1974;109(2):294-297. doi:10.1001/archsurg.1974.01360020154030.
Text Size: A A A
Published online

Biliary tract surgery was performed on 52 patients with gallstone pancreatitis. In those patients operated on during the acute phase of pancreatitis, the pancreas appeared to be either mildly or severely inflamed. In 35.7% of the patients operated on after the regression of symptoms of acute pancreatitis, the pancreas appeared grossly normal.

Although 94.2% and 21.1% of the patients had gallbladder and common bile duct stones, respectively, only 5.7% had impacted ampullary stones.

Cholecystectomy, operative cholangiography, and choledochostomy, when indicated, were routinely performed.

Since the natural history of gallstone pancreatitis is one of frequent recurrence, the correction of the biliary tract disease should be performed on the initial hospital admission. This operative policy has resulted in no mortality and only a 4% late incidence of recurrent acute pancreatitis in a 15-year follow-up period.

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();