BACKGROUND: This review discusses current insights with regard to biliary tract management during and after @entity656 . METHODS: A MEDLINE and EMBASE search was done and studies were selected based on methodological quality and publication date. The recommendations of recent guidelines are incorporated in this review. In absence of consensus in the literature, expert opinion is expressed. RESULTS: There is no role for early endoscopic retrograde cholangiopancreatography (ERCP) in @entity1 with (predicted) mild @entity788 to improve outcome. In case of persisting @entity2877 , ERCP with stone extraction is scheduled electively when the acute event has subsided. Whether early ERCP with sphincterotomy is beneficial in @entity1 with predicted severe @entity788 remains subject to debate. Regardless of disease severity, in case of concomitant @entity255 urgent endoscopic sphincterotomy (ES) is recommended. As a definitive treatment to reduce the risk of recurrent biliary events in the long term, ES is inferior to cholecystectomy and should be reserved for @entity1 considered unfit for surgery. After severe @entity788 , cholecystectomy should be postponed until all signs of @entity32 have subsided. In @entity1 with mild @entity788 , cholecystectomy during the primary admission reduces the risk of recurrent biliary complications. CONCLUSION: Recent research has provided valuable data to guide biliary tract management in the setting of @entity656 with great value and benefit for @entity1 and clinicians. Some important clinical dilemmas remain, but it is anticipated that on-going clinical trials will deliver some important insights and additional guidance soon.

Endoscopic sphincterotomy and cholecystectomy in XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity32 :: ('MESH:D007249', 'Disease') :: ['inflammation'] @entity788 :: ('MESH:D010190', 'Disease') :: ['biliary pancreatitis', 'pancreatitis'] @entity656 :: ('MESH:D019283', 'Disease') :: ['acute biliary pancreatitis'] @entity255 :: ('MESH:D002761', 'Disease') :: ['cholangitis'] @entity2877 :: ('MESH:D042883', 'Disease') :: ['choledocholithiasis']
@entity656 :: (MESH:D019283,Disease) :: ['acute biliary pancreatitis']
