Question

A 46-year-old with suspected gallstone pancreatitis has no cholangitis and LFTs are improving. Ultrasound shows gallstones; CBD is 6 mm. What is the appropriate ERCP strategy?

Accepted Answer

ERCP only if cholangitis or persistent biliary obstruction

Answer

Urgent ERCP within 24 hours for all gallstone pancreatitis

Answer

ERCP for CBD diameter ≥6 mm regardless of symptoms

Answer

ERCP after MRCP in all cases

Answer

ERCP if serum lipase remains elevated at 72 hours

Practice question

A 46-year-old with suspected gallstone pancreatitis has no cholangitis and LFTs are improving. Ultrasound shows gallstones; CBD is 6 mm. What is the appropriate ERCP strategy?