The etiology of acute biliary pancreatitis is complex and, as outlined in this Review, involves multiple factors including anatomy, genetics, gallstones, bile and pancreatic juice exclusion and ampullary obstruction. In this article, the authors also discuss the importance of establishing a biliary origin in acute pancreatitis and how both serum biochemistry and imaging investigations are vital to confirm a diagnosis of acute biliary pancreatitis.
- Erwin J. M. van Geenen
- Donald L. van der Peet
- Marco J. Bruno