Detection of Gallstones in Acute Pancreatitis: When and How?

The detection and management of bile duct stones in acute pancreatitis have improved considerably. Now it is possible to identify non-invasively stones in the duct before definitive treatment. Recently new evidence has confirmed that the indication for early endoscopic sphincterotomy should be severe acute pancreatitis with evidence of bile duct obstruction. This review analyses the evidence that defines current best practice in this area.