Symptomatische Choledocholithiasis in der Schwangerschaft - Einsatz der Sonografie, ERCP und EUS

Autor:	C. F. Dietrich, U. Gottschalk, E. Gottschalk
Rok vydání:	2011
Předmět:	Endoscopic ultrasound Pregnancy medicine.medical_specialty medicine.diagnostic_test business.industry Gold standard Ultrasound Gastroenterology Transabdominal ultrasound medicine.disease digestive system diseases Endoscopy Radiation exposure medicine Pancreatitis Radiology business
Zdroj:	Zeitschrift für Gastroenterologie. 49:452-460
ISSN:	1439-7803 0044-2771
Popis:	We present an overview of the management of acute bilary pancreatitis in pregnancy with particular reference to endoscopy. Ultrasound is the gold standard for diagnosis. If clinical symptoms, laboratory parameters and transabdominal ultrasound do not allow appropriate decision making, endoscopic ultrasound (EUS) is the method of choice. EUS is preferably performed prior to ERCP during the same clinical session, this is of particular relevance for pregnant women with regards to the safety of mother and fetus. However, because the procedure is performed under fluoroscopic guidance, there are potential risks related to the radiation exposure. ERCP, especially in pregnant patients demands high expertise from the endoscopist, and with due diligence and attention to detail, the procedure can be safely performed.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::ff4300ff3575a6d7c67f03c5088390d1 https://doi.org/10.1055/s-0029-1245995 Zobrazit plný text záznamu