Does Endoscopic Sphincterotomy and/or Cholecystectomy Reduce Recurrence Rate of Acute Biliary Pancreatitis?

Bang, Ki Bae; Kim, Hong Joo; Cho, Yong Kyun; Jeon, Woo Kyu

doi:10.4166/kjg.2015.65.5.297

Cited by 8 publications

(6 citation statements)

References 14 publications

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“…Figure 1 shows the modified PRISMA flowchart for identification and inclusion of relevant papers. Twentythree studies were excluded from the meta-analysis; 10 papers were deemed low quality [53][54][55][56][57][58][59][60][61] and 13 papers did not provide readmission rates specific to LC [62][63][64][65][66][67][68][69][70][71][72][73][74].…”

Section: Resultsmentioning

confidence: 99%

Readmission to hospital following laparoscopic cholecystectomy: a meta-analysis

McIntyre¹,

Johnston²,

Foley³

et al. 2020

ait

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Biliary disease and cholecystitis remain one of the most significant surgical challenges. Over 1,000,000 cholecystectomies are performed in the US every year [1, 2], and over 50,000 in the UK [3]. While minimally invasive laparoscopic cholecystectomy (LC) has afforded great advantages over open cholecystectomy, reducing variability and improving outcomes remains a challenge [4, 5]. It is only recently that operative classifications and grading of cholecystitis have been published [6]. LC related peri-operative complications, while infrequent may

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Section: Resultsmentioning

confidence: 99%

Readmission to hospital following laparoscopic cholecystectomy: a meta-analysis

McIntyre¹,

Johnston²,

Foley³

et al. 2020

ait

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“…This matches with Bang KB et al result who mentioned that the frequency of complications from acute biliary pancreatitis was significantly higher in the conservative treatment group (35.7%) and lowest in the endoscopic sphincterotomy plus cholecystectomy group (5.0%, p = 0.008). 13 There was no conversion to open surgery in our cases. This agrees with El Geidie AA who said that preoperative ERCP followed by laparoscopic cholecystectomy is the most commonly used treatment policy worldwide.…”

Section: Discussionmentioning

confidence: 56%

“…This agrees with Bang KB et al, who roported that significantly higher recurrence rates of acute biliary pancreatitis were observed in the non-endoscopic sphincterotomy group compared to the endoscopic sphincterotomy group (p < 0.01), and in the conservative treatment group compared to other intervention groups (p < 0.01). 13 Also, Hazem Z underlined that the risk of recurrent biliary pancreatitis should be quite low if laparoscopic cholecystectomy is performed at the time of the ERCP. 15 Toouli J et al, stated that in biliary pancreatitis, an urgent endoscopic sphincterotomy and common bile duct clearance has been recommended on the basis of earlier reports of its benefit.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic retrograde cholangio-pancreatograhy and laparoscopic cholecystectomy in single session management of acute biliary pancreatitis

2017

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Background: World widely, the annual incidence of acute pancreatitis ranges from 5 to 50 per 100000. The major cause of acute pancreatitis is biliary calculi, which occur in 50-70% of patients. Aim of this study is to evaluate Endoscopic Retrograde Cholangio-Pancreatography (ERCP) and Laparoscopic Cholecystectomy (LC) as a single step management of early acute biliary pancreatitis.Methods: A prospective study included 25 patients complaining of acute biliary pancreatitis. The study was done between December 2012 and February 2016 at Menofia University Hospital. All patients had acute biliary pancreatitis with obstructive jaundice proved by laboratory investigations and imaging. ERCP and LC in the same session were aimed in all patients. Results: Successful same session was done in 24 (96%) cases and 1 (4%) case failed (just had ERCP only). Twenty cases (80%) were females and five cases (20%) were males. By ERCP, multiple small stones were extracted in 15 (60%) cases, biliary mud in 3 (12%) cases, a big stone in 2 (8%) cases and no stones were extracted in 5 (20%) cases. During laparoscopic cholecystectomy, bile stained ascites was present in 15 (60%) cases and absent in 9 (36%) cases. Calcium soap in 7 (28%) cases and absent in 17 (68%) cases. 17 (68%) patients stayed 24 hours in hospital while 6 (24%) patients stayed 48 hours and 2 (8%) cases stayed 72 hours. No mortality was recorded.Conclusions: ERCP and LC as a single step is a good option for management of early acute biliary pancreatitis.

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“…After the selection by title, abstract, and full-text, 119 were eligible for qualitative synthesis and quantitative synthesis. Of these, 119 studies were used for proportion calculations, and 29 2 , 22 – 49 studies detailed the mean follow-up time that could be used for IR calculations. Details of the selection process are shown in Figure 2 .…”

Section: Resultsmentioning

confidence: 99%

Incidence of recurrent and chronic pancreatitis after acute pancreatitis: a systematic review and meta-analysis

Gagyi,

Teutsch,

Veres

et al. 2024

Therap Adv Gastroenterol

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Background: Acute pancreatitis (AP) has a high incidence, and patients can develop recurrent acute pancreatitis (RAP) and chronic pancreatitis (CP) after AP. Objectives: We aimed to estimate the pooled incidence rates (IRs), cumulative incidences, and proportions of RAP and CP after AP. Design: A systematic review and meta-analysis of studies reporting the proportion of RAP and CP after AP. Data sources and methods: The systematic search was conducted in three (PubMed, EMBASE, and CENTRAL) databases on 19 December 2023. Articles reporting the proportion of RAP or CP in patients after the first and multiple episodes of AP were eligible. The random effects model was used to calculate the pooled IR with 95% confidence intervals (CIs). The I2 value assessed heterogeneity. The risk of bias assessment was conducted with the Joanna Briggs Institute Critical Appraisal Tool. Results: We included 119 articles in the quantitative synthesis and 29 in the IRs calculations. Our results showed that the IR of RAP in adult patients after AP was 5.26 per 100 person-years (CI: 3.99–6.94; I2 = 93%), while in children, it was 4.64 per 100 person-years (CI: 2.73–7.87; I2 = 88%). We also found that the IR of CP after AP was 1.4 per 100 person-years (CI: 0.9–2; I2 = 75%), while after RAP, it increased to 4.3 per 100 person-years (CI: 3.1–6.0; I2 = 76%). The risk of bias was moderate in the majority of the included studies. Conclusion: Our results showed that RAP affects many patients with AP. Compared to patients with the first AP episode, RAP leads to a threefold higher IR for developing CP. Trial registration: Our protocol was registered on PROSPERO (CRD42021283252).

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Does Endoscopic Sphincterotomy and/or Cholecystectomy Reduce Recurrence Rate of Acute Biliary Pancreatitis?

Abstract: ERCP with EST and cholecystectomy during the index admission is associated with reduced recurrence rates of ABP.

Cited by 8 publications

References 14 publications

Readmission to hospital following laparoscopic cholecystectomy: a meta-analysis

Readmission to hospital following laparoscopic cholecystectomy: a meta-analysis

Endoscopic retrograde cholangio-pancreatograhy and laparoscopic cholecystectomy in single session management of acute biliary pancreatitis

Incidence of recurrent and chronic pancreatitis after acute pancreatitis: a systematic review and meta-analysis

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