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National Trends in Cholecystectomy and Endoscopic Retrograde Cholangiopancreatography During Index Hospitalization for Mild Gallstone Pancreatitis.
Aziz, Hassan; Segalini, Nicole; Ahmed, Zubair; Ahmad, Shahzaib; Goodman, Martin D; Hertl, Martin.
Afiliación
  • Aziz H; Division of Transplant and Hepatobiliary Surgery, Tufts University School of Medicine, Boston, MA, USA. haziz@tuftsmedicalcenter.org.
  • Segalini N; Tufts Medical Center, Tufts University School of Medicine, 800 Washington St., Boston, MA, USA. haziz@tuftsmedicalcenter.org.
  • Ahmed Z; Lafayette College, Easton, PA, USA.
  • Ahmad S; Allied Hospital, Faisalabad, Pakistan.
  • Goodman MD; King Edward Medical University, Lahore, Pakistan.
  • Hertl M; Division of Transplant and Hepatobiliary Surgery, Tufts University School of Medicine, Boston, MA, USA.
World J Surg ; 46(3): 524-530, 2022 03.
Article en En | MEDLINE | ID: mdl-34817621
BACKGROUND: Guidelines call for cholecystectomy during the index hospitalization for patients with gallstone pancreatitis. Therefore, the study sought to determine the trends for cholecystectomy and Endoscopic Retrograde Cholangiopancreatography (ERCP) for mild gallstone pancreatitis. METHODS: A retrospective analysis of the 2010-2018 Nationwide Readmission Database (NRD) was performed to identify patients with mild gallstone pancreatitis. The primary aim was to identify the trends in the use of cholecystectomy in these patients, and the secondary aim was to assess if ERCP alone was protective against readmission. RESULTS: A total of 510,470 patients with mild gallstone pancreatitis were identified. There has been an increasing trend in ERCP use (25% in 2018 vs. 22% in 2010; p-0.001) and a decline in cholecystectomy (37% in 2018 vs. 46% in 2010; p-0.001) prior to discharge. Multivariate analysis revealed higher 30-day readmission for patients who underwent ERCP without cholecystectomy (odds ratio1.3; 95% confidence interval, 1.1-3.5) during the index admission. CONCLUSIONS: There has been a decline in the use of cholecystectomy during index hospitalization for mild gallstone pancreatitis. In addition, ERCP was not protective against 30-day readmission from mild gallstone pancreatitis.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pancreatitis / Cálculos Biliares Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: World J Surg Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pancreatitis / Cálculos Biliares Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: World J Surg Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos