Favaro MDL, Moran SBS, Iamarino APM, Herrero BM, Gabor S, Ribeiro Junior MAF. During which period should we avoid cholecystectomy in patients who underwent endoscopic retrograde cholangiopancreatography?
EINSTEIN-SAO PAULO 2020;
18:eAO5393. [PMID:
33111809 PMCID:
PMC9586429 DOI:
10.31744/einstein_journal/2020ao5393]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2019] [Accepted: 02/16/2020] [Indexed: 11/05/2022] Open
Abstract
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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