The impact of post-procedure interpretation of ERCP X-ray films by radiologists on patient care: should it be routine or selective?

Background: Review of ERCP x-ray films by radiologists is routine, but the utility of this practice is unproven. The aim of this study was to assess whether the routine post-procedural interpretation of ERCP films by radiologists alters patient management.

Methods: A retrospective analysis of 212 ERCPs followed by a prospective analysis of 112 ERCPs was performed.

Ampullary carcinoid tumors: rationale for an aggressive surgical approach.

Two cases of ampullary carcinoid tumor are reported. These tumors are among the most rare of GI tract carcinoids and appear to have a distinct presentation and biological behavior from carcinoids arising in the duodenum. The existing literature is reviewed with attention to the implications for surgical management of this rare disease.

Prevalence and predictors of severity as defined by atlanta criteria among patients presenting with acute pancreatitis.

Introduction: Effective triage of patients with acute pancreatitis is dependent on the ability to accurately predict a severe course. Predictors (e.g.

Recurrent Acute Pancreatitis.

Patients with recurrent acute pancreatitis should be treated with the same supportive and symptom-oriented measures as those with acute pancreatitis. The need for specific treatment depends on the cause of the pancreatitis. Patients should discontinue alcohol use, putative causative medications, and exposure to toxins or helminths in endemic areas.