2017
DOI: 10.1007/s00464-017-5579-9
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Single-setting endoscopic retrograde cholangiopancreatography (ERCP) and cholecystectomy improve the rate of surgical site infection

Abstract: ERCP performed in the same setting as cholecystectomy carries no increased risk of SSI and should be the treatment of choice in patients with choledocholithiasis. ERCP performed separately within 60 days before cholecystectomy doubles the risk of SSI. Contaminated equipment might play a role, but other factors are likely at play, and should be taken into account when selecting treatment pathways for patients with choledocholithiasis.

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Cited by 10 publications
(8 citation statements)
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“…There is a paucity of data from large multisite studies on infection risk for patients who have undergone ERCP. Loor et al analyzed surveillance data to determine the impact of preoperative ERCP on cholecystectomy surgical site infection (SSI) risk [19]. Patients undergoing pre-operative ERCP had more than double the SSI rate (4.1 % vs 1.8 %), with more resistant pathogens (1.1 % vs 0.2 %) compared to those without pre-operative ERCP [19].…”
Section: Risks Based On Retrospective Analysesmentioning
confidence: 99%
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“…There is a paucity of data from large multisite studies on infection risk for patients who have undergone ERCP. Loor et al analyzed surveillance data to determine the impact of preoperative ERCP on cholecystectomy surgical site infection (SSI) risk [19]. Patients undergoing pre-operative ERCP had more than double the SSI rate (4.1 % vs 1.8 %), with more resistant pathogens (1.1 % vs 0.2 %) compared to those without pre-operative ERCP [19].…”
Section: Risks Based On Retrospective Analysesmentioning
confidence: 99%
“…Loor et al analyzed surveillance data to determine the impact of preoperative ERCP on cholecystectomy surgical site infection (SSI) risk [19]. Patients undergoing pre-operative ERCP had more than double the SSI rate (4.1 % vs 1.8 %), with more resistant pathogens (1.1 % vs 0.2 %) compared to those without pre-operative ERCP [19]. This suggests pathogen transmission during ERCP may remain undetected until later invasive procedures.…”
Section: Risks Based On Retrospective Analysesmentioning
confidence: 99%
See 1 more Smart Citation
“…It can be implemented prior to, during or after cholecystectomy and is considered to represent a low-risk intervention. Annually, 1.3 million procedures are performed and an overall complication rate is 5–10% [13, 14]. Patients undergoing either ERCP or cholecystectomy have a 70% lower risk of biliary disease recurrence within 1 year [15].…”
Section: Introductionmentioning
confidence: 99%
“…Common bile duct (CBD) stones are a frequent problem in Chinese populations, and their incidence is particularly high in certain areas (Wang et al, 2013). In recent years, laparoscopic common bile duct exploration (LCBDE) and endoscopic retrograde cholangiopancreatography (ERCP) have been the main surgical procedures for CBD stones, although each has different advantages and disadvantages in the treatment of choledocholithiasis (Loor et al, 2017;Zhou et al, 2017). For patients with large stones, a dilated CBD, especially concurrent gallstones, LCBDE is the preferred and most economical minimally invasive procedure (Koc et al, 2013).…”
mentioning
confidence: 99%