Biliary Microlithiasis, sometimes referred to as gallbladder sludge, is made up of cholesterol monohydrate, calcium bilirubinate, or calcium carbonate stones measuring less than 2 mm. Sludge is a suspension of crystals, mucin, glycoproteins, and cellular debris.
Have you been diagnosed with Idiopathic Acute Pancreatitis?
Well that means your doctor has no clue or concrete evidence explaining WHY you have had acute pancreatitis or recurrent acute pancreatitis. Chances are your pancreatitis isn’t idiopathic at all. Up to 79% of idiopathic pancreatitis cases can be traced to biliary microlithiasis.
Biliary Microlithiasis On Endoscopic Ultrasound
The following video will show you EUS pictures of biliary microlithiasis along with some other causes of acute pancreatitis. It’s slow moving but I found it interesting. You may find it to be as exciting as watching the grass grow on a hot day but watch it anyway. You may learn something you can share with your doctor. But be advised most doctors don’t seem to like patients who may have more knowledge than themselves. 🙂
Biliary Microlithiasis Leads To Pancreatitis
Biliary Microlithiasis may lead to pancreatitis through several mechanisms. Small stones may transiently impact the papilla, leading to pancreatic duct obstruction and eventual pancreatitis. Repeated exposure to microlithiasis may lead to papillary stenosis and SOD, both of which are associated with pancreatitis.
Like gallstones, sludge may cause obstruction. Gallstone pancreatitis is usually related to small stones, which may not be detected by conventional cholecystographic techniques. So …
The question you should be asking your doctor is: Is my pancreatitis really idiopathic or is it really a form of gallstone pancreatitis due to biliary microlithiasis?