During which period should we avoid cholecystectomy in patients who underwent endoscopic retrograde cholangiopancreatography?
| Autor: | Favaro ML; Universidade de Santo Amaro, São Paulo, SP, Brazil., Moran SBS; Universidade de Santo Amaro, São Paulo, SP, Brazil., Iamarino APM; Universidade de Santo Amaro, São Paulo, SP, Brazil., Herrero BM; Universidade de Santo Amaro, São Paulo, SP, Brazil., Gabor S; Universidade de Santo Amaro, São Paulo, SP, Brazil., Ribeiro Junior MAF; Hospital do Servidor Público Estadual 'Francisco Morato de Oliveira', São Paulo, SP, Brazil. |
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| Jazyk: | English; Portuguese |
| Zdroj: | Einstein (Sao Paulo, Brazil) [Einstein (Sao Paulo)] 2020 Oct 23; Vol. 18, pp. eAO5393. Date of Electronic Publication: 2020 Oct 23 (Print Publication: 2020). |
| DOI: | 10.31744/einstein_journal/2020AO5393 |
| Abstrakt: | 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. |
| Databáze: | MEDLINE |
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