Trends in the timing of inpatient ERCP relative to cholecystectomy: a nationwide database studied longitudinally

Abstract

Use of inpatient ERCP in conjunction with CCY has increased minimally between 1998 and 2013, whereas length of stay has decreased. ERCPs performed within 1 day of CCY were associated with shorter hospital length of stay, suggesting delays between inpatient procedures should be minimized unless medical comorbidities preclude it.

Clinical Impact of Preoperative Relief of Jaundice Following Endoscopic Retrograde Cholangiopancreatography on Determining Optimal Timing of Laparoscopic Cholecystectomy in Patients with Cholangitis

“…Up to 19% of patients undergoing LC have CBD stones that may require CBD exploration, [ 30 ] and ERCP is replacing intraoperative cholangiography with CBD exploration in these patients [ 1 , 2 , 3 , 4 , 5 , 6 , 9 ]. According to this trend, studies on the optimal surgical timing after ERCP were required in hospitalized patients with biliary complications [ 13 ]. Earlier LC after ERCP or even single-stage ERCP and LC seemed to be feasible and efficacious in previous studies; [ 20 , 23 ] however, most of these studies only focused on the time interval between ERCP and LC without considering whether jaundice improved before LC.…”

“…Therefore, endoscopic retrograde cholangiopancreatography (ERCP) followed by LC remains the mainstay for managing coexisting gallbladder (GB) and CBD stones [10][11][12]. In addition, inpatient ERCP in conjugation with cholecystectomy is widely accepted because it is the most efficient treatment algorithm which shortens the length of hospital stay [13].…”