Proposal of the term “gallstone cholangiopancreatitis” to specify gallstone pancreatitis that needs urgent endoscopic retrograde cholangiopancreatography

doi:10.4253/wjge.v13.i10.451

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Oct 16, 2021 (publication date) through Feb 20, 2026

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World Journal of Gastrointestinal Endoscopy

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Opinion Review

World J Gastrointest Endosc. Oct 16, 2021; 13(10): 451-459
Published online Oct 16, 2021. doi: 10.4253/wjge.v13.i10.451

Proposal of the term “gallstone cholangiopancreatitis” to specify gallstone pancreatitis that needs urgent endoscopic retrograde cholangiopancreatography

Masatoshi Isogai

Masatoshi Isogai, Department of Surgery, Nawa Hospital, Ogaki 503-0852, Gifu, Japan

Author contributions: Isogai M conceived the idea for the manuscript, reviewed the literature, drafted the manuscript, and approved the final version of the article.

Conflict-of-interest statement: There is no conflicts of interest to disclose.

Corresponding author: Masatoshi Isogai, MD, Doctor, Surgeon, Department of Surgery, Nawa Hospital, 6-50, Fujie-cho, Ogaki 503-0852, Gifu, Japan. masatoshi.isogai@gmail.com

Received: April 4, 2021
Peer-review started: April 4, 2021
First decision: June 24, 2021
Revised: July 4, 2021
Accepted: July 29, 2021
Article in press: July 29, 2021
Published online: October 16, 2021
Processing time: 193 Days and 6.5 Hours

Core Tip

Core Tip: The term “gallstone cholangiopancreatitis” is suggested to specify gallstone acute pancreatitis complicated by life-threatening acute cholangitis due to persistent ampullary stone impaction and needs urgent endoscopic retrograde cholangiopancreatography with endoscopic sphincterotomy. The term “gallstone cholangiopancreatitis” incorporates the terms “cholangitis” and “gallstone pancreatitis.” “Cholangitis” refers to acute cholangitis due to cholangiovenous reflux through the foci of extensive hepatocyte necrosis reflexed by marked elevation in transaminase levels caused by persistent ampullary obstruction. “Gallstone pancreatitis” refers to elevated pancreatic enzyme levels consequent to pancreatic duct obstruction, the pancreatic lesion that is characterized by minimal or mild inflammation.