Marbet U A
Department of Medicine, Kantonsspital Uri, Altdorf, Switzerland.
Dig Dis. 1992;10(6):318-25. doi: 10.1159/000171371.
The pathogenesis of acute pancreatitis even if associated with gallstone remains unclear. This explains that the best treatment for gallstone-associated pancreatitis remains a matter of debate. However, different theoretical and clinical evaluations support the strategy to perform an endoscopic papillotomy if a common bile duct stone is suspected and the course of the disease does not improve spontaneously during the first 48 h. The discrepancies of the current data and the difficulties to give rational suggestions have been reviewed.
急性胰腺炎的发病机制，即使与胆结石相关，仍不清楚。这就解释了为何胆结石相关性胰腺炎的最佳治疗方法仍存在争议。然而，不同的理论和临床评估支持如下策略：如果怀疑有胆总管结石，且在疾病的最初48小时内病情未自发改善，则应进行内镜下乳头切开术。本文综述了当前数据的差异以及给出合理建议的困难。
