During which period should we avoid cholecystectomy in patients who underwent endoscopic retrograde cholangiopancreatography?

OBJECTIVE: To determine the period during which we should avoid cholecystectomy after endoscopic retrograde cholangiopancreatography. METHODS: A retrospective analysis of electronic medical charts of 532 patients undergoing endoscopic retrograde cholangiopancreatography, between March 2013 and Decem...

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Detalles Bibliográficos
Autores principales: Favaro, Murillo de Lima, Moran, Stefanie Bergamim Saviano, Iamarino, Ana Paula Marconi, Herrero, Barbara Marrelli, Gabor, Silvio, Ribeiro, Marcelo Augusto Fontenelle
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Instituto Israelita de Ensino e Pesquisa Albert Einstein 2020
Materias:
Original Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9586429/
https://www.ncbi.nlm.nih.gov/pubmed/33111809
http://dx.doi.org/10.31744/einstein_journal/2020AO5393
Descripción
Sumario:OBJECTIVE: To determine the period during which we should avoid cholecystectomy after endoscopic retrograde cholangiopancreatography. METHODS: A retrospective analysis of electronic medical charts of 532 patients undergoing endoscopic retrograde cholangiopancreatography, between March 2013 and December 2017. RESULTS: Approximately one-third of patients underwent the procedure between 4 and 30 days after endoscopic retrograde cholangiopancreatography. The conversion rate was 3.8%. The need for abdominal drainage and the finding of biliary tract injury after surgery were observed in 15.1% and 1.9% of patients, respectively. The length of stay was significantly shorter among patients undergoing surgery more than 30 days after endoscopic retrograde cholangiopancreatography. These patients had a median length of stay of one day, whereas the median length of stay in the group undergoing the procedure between 4 and 30 days after endoscopic retrograde cholangiopancreatography was 2 days. CONCLUSION: The period during which we should avoid cholecystectomy is between 4 and 30 days after endoscopic retrograde cholangiopancreatography.

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