Recurrence of Acute Gallstone Pancreatitis and Relationship with Cholecystectomy or Endoscopic Sphincterotomy

Hernández, Vicent; Pascual, Isabel; Almela, Pedro; Añón, R; Herreros, B.; Sánchiz, Vicente; Mínguez, Miguel; Benages, A

doi:10.1111/j.1572-0241.2004.40896.x

Cited by 102 publications

(58 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Time to recurrence provides a key factor when considering the most appropriate timing of cholecystectomy or otherwise, only in selected cases, ERCP. Reported times oscillate between 0 days (9) and 129 days (13). Our results, with a median of 82 days, are near the longest times seen in the studies reviewed.…”

Section: Discussionsupporting

confidence: 59%

“…There are studies that identify no risk factors for recurrence, and then studies that relate AP recurrence to gallstone size (7), episode severity (8), early reintroduction of food, biochemical changes in liver function, age, or race (9). However, the incidence of AGP recurrence and the time to recurrence are highly variable in reported series (10)(11)(12)(13).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Influence of delayed cholecystectomy after acute gallstone pancreatitis on recurrence. Consequences of lack of resources

et al. 2016

View full text Add to dashboard Cite

Introduction: Acute pancreatitis is often a relapsing condition, particularly when its triggering factor persists. Our goal is to determine the recurrence rate of acute biliary pancreatitis after an initial episode, and the time to relapse, as well as to identify the risk factors for recurrence. Material and method:We included all patients admitted for a first acute gallstone pancreatitis event during four years. Primary endpoints included readmission for recurrence and time to relapse.Results: We included 296 patients admitted on a total of 386 occasions. The incidence of acute biliary pancreatitis in our setting is 17.5/100,000 population/year. In all, 19.6% of pancreatitis were severe (22.6% of severe acute pancreatitis for first episodes versus 3.6% for recurring pancreatitis), with an overall mortality of 4.4%. Overall recurrence rate was 15.5%, with a median time to relapse of 82 days. In total, 14.2% of patients relapsed after an acute pancreatitis event without cholecystectomy or endoscopic retrograde cholangio-pancreatography. Severe acute pancreatitis recur in 7.2% of patients, whereas mild cases do so in 16.3%, this being the only risk factor for recurrence thus far identified.Conclusions: Patients admitted for pancreatitis should undergo cholecystectomy as soon as possible or be guaranteed priority on the waiting list. Otherwise, endoscopic retrograde cholangio-pancreatography with sphincterotomy may be an alternative to surgery for selected patients.

show abstract

Section: Discussionsupporting

confidence: 59%

Section: Introductionmentioning

confidence: 99%

Influence of delayed cholecystectomy after acute gallstone pancreatitis on recurrence. Consequences of lack of resources

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Recurrent biliary pancreatitis is encountered in 4%-50% of cases and may become fatal. [15,17,18] According to our study, only one patient in group 2 developed recurrent biliary pancreatitis with impending necrotizing pancreatitis and pseudocyst formation.…”

Section: Discussionmentioning

confidence: 58%

“…As a recurrent biliary pancreatitis episode may be lifethreatening, early cholecystectomy may prove pivotal. [15] In general practice, surgeons postpone surgery until cessation of the inflammatory p rocess, a s e videnced b y t he a bsence of abdominal pain and normal liver function tests. However, this approach is not evidence-based and may unnecessarily prolong hospital stay.…”

Section: Introductionmentioning

confidence: 99%

Early laparoscopic cholecystectomy following acute biliary pancreatitis expedites recovery

Eğin

Yeşiltaş²,

Gökçek³

et al. 2017

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

show abstract

“…Recurrent pancreatitis can be seen in up to 30% of patients if cholecystectomy is not performed. 96,97 Based on the American Gastroenterological Association (AGA) guidelines, definitive surgical management should be performed in the same hospitalization if possible, but no later than 2 to 4 weeks after discharge. 98 In most patients with mild gallstone pancreatitis and no evidence of cholangitis, routine ERCP prior to cholecystectomy is not indicated, as long as pancreatitis is resolving and liver function abnormalities have normalized.…”

Section: Cholecystectomymentioning

confidence: 99%

Acute pancreatitis

Munsell

Buscaglia

2010

Journal of Hospital Medicine

View full text Add to dashboard Cite

Acute pancreatitis is a common disease most frequently caused by gallstone disease or excess alcohol ingestion. Diagnosis is usually based on characteristic symptoms, often in conjunction with elevated serum pancreatic enzymes. Imaging is not always necessary, but may be performed for many reasons, such as to confirm a diagnosis of pancreatitis, rule out other causes of abdominal pain, elucidate the cause of pancreatitis, or to evaluate for complications such as necrosis or pseudocysts. Though the majority of patients will have mild, self‐limiting disease, some will develop severe disease associated with organ failure. These patients are at risk to develop complications from ongoing pancreatic inflammation such as pancreatic necrosis, fluid collections, pseudocysts, and pancreatic duct disruption. Validated scoring systems can help predict the severity of pancreatitis, and thus, guide monitoring and intervention.Treatment of acute pancreatitis involves supportive care with fluid replacement, pain control, and controlled initiation of regular food intake. Prophylactic antibiotics are not recommended in acute pancreatitis if there is no evidence of pancreatic infection. In patients who fail to improve, further evaluation is necessary to assess for complications that require intervention such as pseudocysts or pancreatic necrosis. Endoscopy, including ERCP and EUS, and/or cholecystectomy may be indicated in the appropriate clinical setting. Ultimately, the management of the patient with severe acute pancreatitis will require a multidisciplinary approach. Journal of Hospital Medicine 2010;5:241–250. © 2010 Society of Hospital Medicine.

show abstract

Recurrence of Acute Gallstone Pancreatitis and Relationship with Cholecystectomy or Endoscopic Sphincterotomy

Abstract: Recurrence of gallstone pancreatitis is a frequent event. Delay of cholecystectomy implies an increased risk of recurrence. ES could be an acceptable option to prevent recurrence in patients who are not candidates for surgery or who do not desire to undergo cholecystectomy.

Cited by 102 publications

References 30 publications

Influence of delayed cholecystectomy after acute gallstone pancreatitis on recurrence. Consequences of lack of resources

Influence of delayed cholecystectomy after acute gallstone pancreatitis on recurrence. Consequences of lack of resources

Early laparoscopic cholecystectomy following acute biliary pancreatitis expedites recovery

Acute pancreatitis

Contact Info

Product

Resources

About