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- W2922504103 abstract "Introduction: Alcohol and gallstones account for over 80% of acute pancreatitis (AP). The timing of cholecystectomy after an attack of acute biliary pancreatitis (ABP) is controversial. Those diagnosed with mild AP are recommended to have cholecystectomy before discharge to prevent recurrence. We conducted a single center retrospective study on patients with AP secondary to gallstones/microlithiasis addressing the impact of early same-admission cholecystectomy (SAC) on recurrence of AP, healthcare costs and readmissions to hospital- when compared to deferred cholecystectomy (DC). Methods: We performed a chart review of 350 patients admitted with diagnosis of AP. The study population (n=57) included those diagnosed with ABP. Patients who were classified as having severe AP with possible etiologies other than biliary causes and those who underwent prior cholecystectomy were excluded from the study. The primary aim of the study was to look at the impact of SAC on preventing recurrence of AP and readmissions to the hospital - when compared to DC. Statistical analysis included: t-test analysis for continuous variables and fisher exact test for categorical variables. (Table 1) Results: The study population was split into 2 groups: SAC group (n=27) and DC group (n=30). The average length of stay in the SAC group was 6.30 (SD± 2.65) days while it was 5.92 (SD±3.96)days in the DC group (p-Value 0.6755). The average cost of the index admission in SAC group was $43,478.67, while the DC group was $38,696. DC group underwent elective outpatient cholecystectomy with average time from discharge being 24 days. None of the patients in the SAC group had readmissions for AP, while 5 patients in the DC group were admitted to the hospital with recurrent ABP. The average time to readmission for these patients was 129.6 days. Those who had been readmitted had average length of the stay of 3 days, with an average cost of the readmission of 21,739.34 dollars per patient. Conclusion: Our study focused on clinical implications of performing index admission cholecystectomy as compared to deferring them to be done as an outpatient. There had been no episodes of recurrent ABP in SAC group. Alternatively, among those who had been referred for outpatient cholecystectomy- 16% were readmitted with recurrent pancreatitis requiring an in-hospital stay of 3 days on average. We suggest performing index admission cholecystectomy reduces the rate of admission for recurrent ABP, overall morbidity and healthcare costs.50 Figure 1. No Caption available." @default.
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- W2922504103 date "2018-10-01" @default.
- W2922504103 modified "2023-10-12" @default.
- W2922504103 title "Clinical Implications and Cost Effectiveness of Index Admission Cholecystectomy in Acute Biliary Pancreatitis;: A Study in a Inner City Minority Populations" @default.
- W2922504103 doi "https://doi.org/10.14309/00000434-201810001-00050" @default.
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