P-EGS01 Cholecystectomy after gall stone pancreatitis

Abstract

Abstract Background According to the UK guidelines for the management of acute pancreatitis commissioned by the British Society of Gastroenterology, All patients presenting with gallstone pancreatitis should be considered for cholecystectomy when they are well enough to undergo surgery. In cases of mild biliary pancreatitis, cholecystectomy should ideally be performed during the index admission or within 2 weeks of discharge as interval cholecystectomy is associated with a significant risk of readmission for recurrent biliary events. In cases of severe gallstone pancreatitis, cholecystectomy may need to be delayed until collections have improved, unless the patient is well enough for surgery and the gallbladder is some distance from the collection Methods Methods Inclusion Criteria Exclusion Criteria Results 80 patients were collected during the study period, 96 % of them were classified as mild pancreatitis Cholecystectomy rate Total percentage of cholecystectomies performed for mild gall stone pancreatitis during index admission or within 2 weeks from discharge : 37% Percentage of early cholecystectomies for eligible patients (i.e.after ruling out unfit patients, patients declining treatment, previous cholecystectomy..etc) : 54% Re-admission rate Re-admission rate for early cholecystectomy patients : 7.4% Re-admission rate for delayed cholecystectomy patients : 20.7% Conclusions