How to Treat Gallstone Pancreatitis

You could try to pull the catheter back a little bit prior to flushing again and reshooting the colangiogram. If there is evidence of colidocolithiasis or active colonitis, then yes, they would need an ERCP but if there's just pancreatitis, there's no role for ERCP. How about you have severe pancreatitis with an on-ear imaging and you see a large peri-pancreatic fluid collection? What about the time in a colosyctomy in those patients? In these patients, they're generally very ill and their abdomen is not suitable for surgery due to the intense inflammatory reaction.