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Intraoperative cholangiography versus magnetic resonance cholangiography in patients with mild acute biliary pancreatitis: A prospective study in a second-level hospital
Cholecystectomy is the only definitive management of pancreatitis secondary to gallstone disease. Approximately 20% to 30% of patients with acute biliary pancreatitis (ABP) will have persistent common bile duct (CBD) stones. Therefore, choosing a method for the early diagnosis of choledocholithiasis...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221722/ https://www.ncbi.nlm.nih.gov/pubmed/30383648 http://dx.doi.org/10.1097/MD.0000000000012976 |
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author | Gómez-Torres, Gustavo Angel González-Hernández, Jaime López-Lizárraga, Carlos Rene Navarro-Muñiz, Eliseo Ortega-García, Odeth Sherlyne Bonnet-Lemus, Francisco Manuel Abarca-Rendon, Francisco Manuel De la Cerda-Trujillo, Liliana Faviola |
author_facet | Gómez-Torres, Gustavo Angel González-Hernández, Jaime López-Lizárraga, Carlos Rene Navarro-Muñiz, Eliseo Ortega-García, Odeth Sherlyne Bonnet-Lemus, Francisco Manuel Abarca-Rendon, Francisco Manuel De la Cerda-Trujillo, Liliana Faviola |
author_sort | Gómez-Torres, Gustavo Angel |
collection | PubMed |
description | Cholecystectomy is the only definitive management of pancreatitis secondary to gallstone disease. Approximately 20% to 30% of patients with acute biliary pancreatitis (ABP) will have persistent common bile duct (CBD) stones. Therefore, choosing a method for the early diagnosis of choledocholithiasis is essential to reduce waiting days for surgery and hospital stay in these patients. The aim of this study was to compare the use of magnetic resonance cholangiography (MRC) and intraoperative cholangiography (IOC), and its impact on the length of the hospital stay in patients with mild ABP and an intermediate probability of choledocholithiasis. We prospectively evaluated all patients diagnosed with mild ABP and an intermediate probability of choledocholithiasis at admission and 48 hours after, from June, 2017 to December, 2017. Study subjects were identified upon admission and were classified into 2 groups of patients according to their choledocholithiasis predictors; a MRC was performed in the group 1, and an IOC was done in group 2. In all, 47 patients were enrolled in the final analysis of this study. Hospital stay in group 1 (CMR) patients was 8.29 (±2.69) days compared with 6.43 (±2.57) days in the group 2 (IOC) (P = .007). Mean waiting days for cholecystectomy was 17.14 (±26.04) days for group 1 and 5 (±2.69) days for group 2. We suggest an IOC as the election method for the diagnosis of CBD stones in patients with mild ABP in medical centers similar to ours because it reduces waiting days for surgery and hospital stay compared to the MRC. |
format | Online Article Text |
id | pubmed-6221722 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-62217222018-12-04 Intraoperative cholangiography versus magnetic resonance cholangiography in patients with mild acute biliary pancreatitis: A prospective study in a second-level hospital Gómez-Torres, Gustavo Angel González-Hernández, Jaime López-Lizárraga, Carlos Rene Navarro-Muñiz, Eliseo Ortega-García, Odeth Sherlyne Bonnet-Lemus, Francisco Manuel Abarca-Rendon, Francisco Manuel De la Cerda-Trujillo, Liliana Faviola Medicine (Baltimore) Research Article Cholecystectomy is the only definitive management of pancreatitis secondary to gallstone disease. Approximately 20% to 30% of patients with acute biliary pancreatitis (ABP) will have persistent common bile duct (CBD) stones. Therefore, choosing a method for the early diagnosis of choledocholithiasis is essential to reduce waiting days for surgery and hospital stay in these patients. The aim of this study was to compare the use of magnetic resonance cholangiography (MRC) and intraoperative cholangiography (IOC), and its impact on the length of the hospital stay in patients with mild ABP and an intermediate probability of choledocholithiasis. We prospectively evaluated all patients diagnosed with mild ABP and an intermediate probability of choledocholithiasis at admission and 48 hours after, from June, 2017 to December, 2017. Study subjects were identified upon admission and were classified into 2 groups of patients according to their choledocholithiasis predictors; a MRC was performed in the group 1, and an IOC was done in group 2. In all, 47 patients were enrolled in the final analysis of this study. Hospital stay in group 1 (CMR) patients was 8.29 (±2.69) days compared with 6.43 (±2.57) days in the group 2 (IOC) (P = .007). Mean waiting days for cholecystectomy was 17.14 (±26.04) days for group 1 and 5 (±2.69) days for group 2. We suggest an IOC as the election method for the diagnosis of CBD stones in patients with mild ABP in medical centers similar to ours because it reduces waiting days for surgery and hospital stay compared to the MRC. Wolters Kluwer Health 2018-11-02 /pmc/articles/PMC6221722/ /pubmed/30383648 http://dx.doi.org/10.1097/MD.0000000000012976 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0 |
spellingShingle | Research Article Gómez-Torres, Gustavo Angel González-Hernández, Jaime López-Lizárraga, Carlos Rene Navarro-Muñiz, Eliseo Ortega-García, Odeth Sherlyne Bonnet-Lemus, Francisco Manuel Abarca-Rendon, Francisco Manuel De la Cerda-Trujillo, Liliana Faviola Intraoperative cholangiography versus magnetic resonance cholangiography in patients with mild acute biliary pancreatitis: A prospective study in a second-level hospital |
title | Intraoperative cholangiography versus magnetic resonance cholangiography in patients with mild acute biliary pancreatitis: A prospective study in a second-level hospital |
title_full | Intraoperative cholangiography versus magnetic resonance cholangiography in patients with mild acute biliary pancreatitis: A prospective study in a second-level hospital |
title_fullStr | Intraoperative cholangiography versus magnetic resonance cholangiography in patients with mild acute biliary pancreatitis: A prospective study in a second-level hospital |
title_full_unstemmed | Intraoperative cholangiography versus magnetic resonance cholangiography in patients with mild acute biliary pancreatitis: A prospective study in a second-level hospital |
title_short | Intraoperative cholangiography versus magnetic resonance cholangiography in patients with mild acute biliary pancreatitis: A prospective study in a second-level hospital |
title_sort | intraoperative cholangiography versus magnetic resonance cholangiography in patients with mild acute biliary pancreatitis: a prospective study in a second-level hospital |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221722/ https://www.ncbi.nlm.nih.gov/pubmed/30383648 http://dx.doi.org/10.1097/MD.0000000000012976 |
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