Abstract

titis. Secondly, to evaluate the readmission rate with biliary complications that occur due to a delay in surgical management; and thirdly, to estimate the financial cost resulting from the recurrent admissions and subsequent investigations. Methods: A retrospective analysis included patients with gallstones pancreatitis whowere admitted across a local trust between June 2011 and January 2013. Patients with severe pancreatitis and those unfit for surgery were excluded. Results: 40 patients were included in the study. 45% of patients readmitted with biliary complications. Only 1 patient (2.5%) had cholecystectomy within 2 weeks of admission as per guidelines. Estimated cost of extra investigations required during readmissions exceeded £20,000. Conclusions: There is an evident breach regards timing of cholecystectomy following mild gallstones pancreatitis in accordance with the guidelines, with a compliance rate of 2.5%. This has resulted in high readmission rate with biliary complications, and subsequently a high extra cost.

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