Diagnosis hypothesis of pancreatitis of patients with recurrent chronic abdominal pain involves both image and serum amylase and Lipase analysis.
Now a days ercp is a therapeutic modality.MRCP is diagnostic modality .So the answer to your question is NO.
MRCP is a good first test. In our Institution we would definitively do endoscopic ultrasound before a (therapeutic) ERCP.
EUS should be the first option if available since it is a senstive tool to evaluate small CBD stone and GB stone. It can also diagnose anomaly junction and pancreas divisum.
The indication to perform an ERCP in acute pancreatitis is that the patient have a high risk of choledocholithiasis (ASGE guidelines for choledocholithiasis and IAP APA Management Guidelines for acute Pancreatitis)
I do not think it is a good idea in a young healthy patient because of the risk of alithiasic colecistitis. I think that every young and healthy patient should undergo a colecistectomy after an ercp has Been
Agreed with César Felipe Ploneda Valencia --> may refer to ASGE guidelines.
ERCP is for therapeutic purpose, while MRCP is for diagnostic purpose. EUS could be indicated in the case.
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