Surgeons provide definitive care to patients with gallstone pancreatitis
| Autor: | Jennifer E. Witt, Ernest E. Moore, Clay Cothren Burlew, Carlton C. Barnett, Walter L. Biffl, Sarah E. Judkins, Jeffrey L. Johnson |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Adolescent medicine.medical_treatment Gallstones Diagnosis Differential symbols.namesake Young Adult medicine Humans Biliary pancreatitis Cholecystectomy Fisher's exact test Aged Retrospective Studies Aged 80 and over Cholangiopancreatography Endoscopic Retrograde Endoscopic retrograde cholangiopancreatography medicine.diagnostic_test business.industry General surgery Retrospective cohort study General Medicine Length of Stay Middle Aged medicine.disease Optimal management Surgery Treatment Outcome Pancreatitis symbols Female business Urban hospital Follow-Up Studies |
| Zdroj: | American journal of surgery. 202(6) |
| ISSN: | 1879-1883 |
| Popis: | The optimal management of patients with gallstone pancreatitis (GP) remains a matter of debate. There are wide variations in the use of diagnostic testing and same-stay cholecystectomy. We hypothesize that a general surgery service (SURG) will deliver more efficient, definitive care for patients with GP.A retrospective cohort study of consecutive GP patients in an urban hospital from 2006 to 2009. Differences between groups were assessed by the two-tailed Student t test for continuous variables and the Fisher exact test for ordinal data.One hundred twenty-four patients with GP were admitted, 79 to medicine (MED) and 45 to surgery (SURG). In the MED group, 21 patients (27%) underwent same-stay cholecystectomy, and 7 patients (9%) returned with recurrent biliary pancreatitis. In the SURG group, 44 patients had definitive surgery, and none returned with recurrent disease (P.01 and .09, respectively). The SURG group had fewer laboratory tests, antibiotics, and consultations.For patients with GP, admission to surgery results in definitive treatment with same-stay cholecystectomy. This is a more efficient approach with fewer readmissions for the same disease process. |
| Databáze: | OpenAIRE |
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