The New England journal of medicine
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Randomized Controlled Trial Clinical Trial
Early treatment of acute biliary pancreatitis by endoscopic papillotomy.
Most patients with acute biliary pancreatitis have stones in the biliary tract or ampulla of Vater. Because these stones may be passed spontaneously soon after a patient is admitted to the hospital, the importance of early operative removal is not known. We tested the hypothesis that endoscopic papillotomy within 24 hours of admission decreased the incidence of complications in patients with acute biliary pancreatitis. ⋯ Emergency ERCP with or without endoscopic papillotomy is indicated in the treatment of patients with acute pancreatitis.
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Comment Letter Randomized Controlled Trial Clinical Trial
Valproate versus carbamazepine for seizures.