4 Topic Commentaries

Same‐admission cholecystectomy linked to lower pancreatitis recurrence

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  Roberto Valente, MD, PhD

  Hepatobiliary Surgery

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  University of Colorado Anschutz Medical Campus

  Conclusions and Relevance In this study, same-admission cholecystectomy was associated with the lowest recurrence in acute pancreatitis and the lowest rate of other gallstone-related complications. ERCP only was associated with low long-term risk of recurrence but other gallstone-related complications remained common. These findings support prioritizing same-admission cholecystectomy in all individuals with acute gallstone-related pancreatitis, provided they are fit for surgery.

  Source
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  Philip I. Haigh, MD, MSc, FRCSC

  General Surgery

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  Kaiser Permanente Los Angeles Medical Center

  The current recommendation for patients who present with mild gallstone pancreatitis is to undergo cholecystectomy during the initial hospitalization to prevent recurrent episodes of pancreatitis.

  Source
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  Brendan C. Visser, MD

  Hepatobiliary and Pancreatic Surgery

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  Stanford University School of Medicine

  Nonetheless, the risk of recurrence after ERCP remains elevated when compared with patients who underwent cholecystectomy (8.2% vs 5.4%, respectively).

  Source
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  Chris E. Forsmark, MD

  Gastroenterology

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  University of Florida College of Medicine

  The common practice of delaying cholecystectomy for several weeks is no longer acceptable.

  Source