During which period should we avoid cholecystectomy in patients who underwent endoscopic retrograde cholangiopancreatography?

Murillo de Lima Favaro, Stefanie Bergamim Saviano Moran, Ana Paula Marconi Iamarino, Barbara Marrelli Herrero, Silvio Gabor, Marcelo Augusto Fontenelle Ribeiro
2020 Einstein (São Paulo)  
To determine the period during which we should avoid cholecystectomy after endoscopic retrograde cholangiopancreatography. A retrospective analysis of electronic medical charts of 532 patients undergoing endoscopic retrograde cholangiopancreatography, between March 2013 and December 2017. 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
more » ... rainage 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. The period during which we should avoid cholecystectomy is between 4 and 30 days after endoscopic retrograde cholangiopancreatography.
doi:10.31744/einstein_journal/2020ao5393 pmid:33111809 fatcat:oyfppmlykzcgda67ihqx647ita