Meta‐analysis of randomized clinical trials of early versus delayed cholecystectomy for mild gallstone pancreatitis

@article{Moody2019MetaanalysisOR,
  title={Meta‐analysis of randomized clinical trials of early versus delayed cholecystectomy for mild gallstone pancreatitis},
  author={Nick Moody and Alfred Adiamah and Fady Yanni and Dhanwant Gomez},
  journal={British Journal of Surgery},
  year={2019},
  volume={106}
}
Gallstones account for 30–50 per cent of all presentations of acute pancreatitis. While the management of acute pancreatitis is usually supportive, definitive treatment of gallstone pancreatitis is cholecystectomy. Guidelines from the British Society of Gastroenterology suggest definitive treatment on index admission or within 2 weeks of discharge, whereas joint recommendations from the International Association of Pancreatology and the American Pancreatic Association recommend definitive… 

Early Versus Delayed Laparoscopic Cholecystectomy in Mild Acute Biliary Pancreatitis. A Comparative Study

In patients with acute biliary pancreatitis early cholecystectomy during the same admission after resolution of the acute pancreatitis is the key for prevention of recurrence and prevention more complications.

Early vs late cholecystectomy in mild gall stone pancreatitis: An updated meta-analysis and review of literature

In patients with mild gallstone pancreatitis early cholecystectomy leads to shorter hospital stay, shorter duration of surgery, while decreasing the risk of biliary complications.

Gallstone Pancreatitis : General Clinical Approach and the Role of ERCP.

Patients are triaged based on predictors of ongoing biliary obstruction in order to identify who would need ERCP(Endoscopic retrograde cholangiopancreatography), with exception of cases with significant local and systemic complications where interval cholecystectomy maybe safer.

Gallstone pancreatitis: general clinical approach and the role of endoscopic retrograde cholangiopancreatography

Patients are triaged based on predictors of ongoing biliary obstruction in order to identify who would need endoscopic retrograde cholangiopancreatography, with exception of cases with significant local and systemic complications where delayed cholecystectomy may be safer.

Cholecystectomy for people aged 50 years or more with mild gallstone pancreatitis: predictors and outcomes of index and interval procedures

To estimate the proportions of people aged 50 years or more with mild gallstone pancreatitis who undergo index cholecystectomy or interval CholecyStectomy or to compare outcomes following index and interval choleCystectomy.

Managing Gallstone Disease in the Elderly.

Acute biliary pancreatitis: the evolution of surgical tactics (review of literature)

The objective of this study was to analyze the evolution of surgical tactics in the treatment of acute biliary pancreatitis with combined cholecystocholedocholithiasis.

Early Versus Delayed Cholecystectomy for Acute Biliary Pancreatitis: A Systematic Review and Meta-Analysis

This review showed that EC has definite advantages over DC in terms of reducing recurrent pancreaticobiliary events and LOS following mild ABP, however, more RCTs are required to study the role of EC in patients with moderately-severe and severe ABP.

Laparoscopic cholecystectomy in acute mild gallstone pancreatitis: how early is safe?

ELC with routine intraoperative cholangiogram, performed on the first available surgical shift 48 h after the symptoms of pancreatitis onset, is a viable, effective and safe strategy for the resolution of mild AGP and its underlying biliary pathology in a single procedure.

Indications for endoscopic retrograde cholangiopancreatography and cholecystectomy in biliary pancreatitis

A recent meta-analysis of seven RCTs including 757 patients found no evidence that early routine ERCP significantly affects mortality or local/systemic complications, regardless of the predicted severity of biliary pancreatitis.

References

SHOWING 1-10 OF 38 REFERENCES

Cost‐effectiveness of same‐admission versus interval cholecystectomy after mild gallstone pancreatitis in the PONCHO trial

This study analysed the cost‐effectiveness of same‐admission versus interval cholecystectomy after mild gallstone pancreatitis and found the former to be more beneficial than the latter.

Cost‐effectiveness of early laparoscopic cholecystectomy for mild acute gallstone pancreatitis

This study compared the cost‐effectiveness of laparoscopic cholecystectomy performed within 3 days of admission, during the same admission but after more than 3‬days, or electively in a subsequent admission.

Definitive management of gallstone pancreatitis in England

Investigating whether definitive treatment of gallstone pancreatitis by either cholecystectomy or endoscopic sphincterotomy in England conforms with British Society of Gastroenterology (BSG) guidelines found that patients who underwent a choleCystectomy during the index admission were less likely to be readmitted with a further bout of GSP.

Index versus delayed cholecystectomy in mild gallstone pancreatitis: results of a randomized controlled trial.

  • R. NoelU. Arnelo G. Sandblom
  • Medicine
    HPB : the official journal of the International Hepato Pancreato Biliary Association
  • 2018

Two‐week target for laparoscopic cholecystectomy following gallstone pancreatitis is achievable and cost neutral

The British Society of Gastroenterology recommends that all patients with gallstone pancreatitis should undergo cholecystectomy within 2 weeks. This study assessed whether these guidelines are

Timing of Cholecystectomy After Mild Biliary Pancreatitis: A Systematic Review

Interval cholecystectomy after mild biliary pancreatitis is associated with a high risk of readmission for recurrent biliary events, especially recurrent bility pancreatitis.

Acute Biliary Pancreatitis-Optimal Time for Cholecystectomy : A Prospective Randomized Study

In mild ABP, ELC can be done safely and efficaciously with a significant reduction in the recurrent biliary events, the total length of hospital stay and frequency of readmission compared with DLC, according to a prospective randomized study.

Early versus delayed laparoscopic cholecystectomy for people with acute cholecystitis.

A systematic review of all randomised clinical trials comparing early versus delayed laparoscopic cholecystectomy in participants with acute choleCystitis to compare benefits and harms and found no significant difference between the two groups.