Navigation Links
Early surgical treatment contributes to better outcomes in gallstone pancreatitis cases
Date:12/18/2007

CHICAGO (December 18, 2007) Although delaying surgical treatment remains the standard of care for patients with severe gallstone pancreatitis, a new study published in the December issue of the Journal of the American College of Surgeons shows that, contrary to widespread belief, early cholecystectomy -- or surgical removal of the gallbladder -- significantly reduces hospital stays in patients with mild to moderate gallstone pancreatitis with no increase in complications or mortality.

Gallstones -- the small, pebble-like deposits that develop in the gallbladder -- are the leading cause of acute pancreatitis (inflammation of the pancreas) in the United States. Although delaying an operation remains the standard of care for severe gallstone pancreatitis, the timing of cholecystectomy for mild to moderate gallstone pancreatitis is controversial, with many surgeons believing that the surgical procedure should be delayed until laboratory abnormalities and symptoms have resolved.

This study dispels the notion that the later the cholecystectomy, the better the outcome in patients with mild to moderate gallstone pancreatitis. We found excellent outcomes in patients undergoing the procedure within two days of hospitalization, lead investigator of the study David K. Rosing, MD, Harbor-UCLA Medical Center, said. Perhaps most importantly, we found that early cholecystectomy reduces the time these patients are in the hospital by three or four days, which benefits both the individual patient and the hospital.

Researchers conducted a cohort study consisting of a retrospective (n=177) and prospective group (n=43) to investigate the optimal timing of laparoscopic cholecystectomy for patients with mild to moderate gallstone pancreatitis. For the prospective group, cholecystectomy was performed less than 48 hours from admission, before resolution of laboratory or physical examination abnormalities were resolved. The primary endpoint was total length of hospital stay. Secondary endpoints included major complications (organ failure and death).

By using a protocol of early cholecystectomy in the prospective group, the total length of stay was significantly reduced from seven to four days (p<0.001). Median time from admission to cholecystectomy was five days in the retrospective group versus two days in the prospective group. Complication rates were similar, and there were no deaths in either group.


'/>"/>

Contact: Sally Garneski
pressinquiry@facs.org
312-202-5409
Weber Shandwick Worldwide
Source:Eurekalert

Related medicine news :

1. Pot bellies linked to early signs of cardiovascular disease
2. Eye-staining technique offers early detection for dry eye syndrome
3. Early Weight Loss in Women Linked to Dementia
4. Isolation of a new gene family essential for early development
5. U of M study: Early treatment can reverse heart damage
6. Gerresheimer to be Included in the SDAX Early Decision on Inclusion in the MDAX on September 5, 2007
7. Rock N Roll: Sex, Drugs and an Early Exit
8. Pop stars more than twice as likely to die an early death
9. Exercise and yoga improves quality of life in women with early-stage breast cancer
10. Research says doctors gender may hinder early diagnosis of heart disease in women
11. Antidepressant shows early promise in treating agitation and psychotic symptoms of dementia
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/11/2016)... ... 12, 2016 , ... The Journal of Pain Research has seen ... SJR uses data taken from the Scopus database (Elsevier B.V.) and is a measure ... by the journal over a three year period and also the importance of the ...
(Date:2/11/2016)... ... 11, 2016 , ... The president released a FY 2017 budget request on ... more of the cost burden to military beneficiaries. , MOAA’s president, retired Air ... budget as including limited quantifiable benefit fixes mixed with numerous beneficiary fee hikes. , ...
(Date:2/11/2016)... ... February 11, 2016 , ... Hall Integrative Health and ... for their simultaneous grand openings in March. All seven practices are set to ... wondering, is reversing diabetes possible? According to this 2011 CNN article it is ...
(Date:2/11/2016)... ... 2016 , ... Thermi™, a world leader in thermistor-regulated energy ... promotions of Allison Kelly to executive vice president of the company’s new North ... North American capital sales, and Wendy Oseas to vice president of global marketing. ...
(Date:2/11/2016)... ... 11, 2016 , ... Atlantic Information Services, Inc. (AIS) is ... Case Study for Plans and Purchasers.” Executives from Intel Corp. and Providence Health ... value-based health benefits program Connected Care, will discuss the challenges they faced (and ...
Breaking Medicine News(10 mins):
(Date:2/11/2016)... Ill. , Feb. 11, 2016  AbbVie, ... the AbbVie Rheumatology Scholarship, designed to provide financial ... disease as they pursue higher education goals. Fifteen ... for the 2016-2017 school year. The AbbVie Rheumatology ... Tracie Haas , vice president, corporate social responsibility, ...
(Date:2/11/2016)... Feb. 11, 2016  Community pharmacists can help improve ... the pharmacy through a custom-built medication synchronization program, Cardinal ... and owner at Schieber Family Pharmacy in ... a lot of patients enrolled in this medication synchronization ... a win for the patient, and it,s a win ...
(Date:2/11/2016)... , Feb. 11, 2016 Scientists from ... method that opens the door to genetic analysis ... have been impossible to isolate with 100 percent ... specific tumor types in various stages of development, ... of these cells that are clinically relevant, and ...
Breaking Medicine Technology: