The study had twin primary outcome measures: cholecystectomy rates performed during an index hospitalization for gallstone pancreatitis
and recurrent biliary events after hospitalization.
Systematic review of 9 studies involving 998 patients with mild biliary pancreatitis showed that early cholecystectomy in the setting of gallstone pancreatitis
(i.e., during the index admission) reduced the incidence of recurrent admissions for repeat biliary-related events including pancreatitis, cholecystitis, and biliary colic.
Yuan, "Early routine endoscopic retrograde cholangiopancreatography strategy versus early conservative management strategy in acute gallstone pancreatitis
," Cochrane Database of Systematic Reviews, vol.
Our case is an example of necrotizing pancreatitis secondary to gallstone pancreatitis
. Physicians should vigilantly monitor these patients once the diagnosis of acute pancreatitis is made.
Alanine aminotransferase >150 IU/L is 96% specific for gallstone pancreatitis
. (2) Of note: there is no evidence to support daily monitoring of these enzyme levels as predictors of clinical improvement or disease severity.
The incidence of gallstone pancreatitis
was not different from that in our previous study in 2007 ; however, the incidence of alcohol-related AP was significantly lower with a paradoxical increase in post-ERCP pancreatitis, which was the fourth most common etiology in the present study.
One was 38 years old, presented with gallstone pancreatitis
and had a cholecystectomy 4 weeks after initial presentation.
All patients with symptomatic gallstones, acute calculous or acalculous cholecystitis, empyema gallbladder, mucocele of gallbladder, gallstone pancreatitis
and polyps of gallbladder were included.
This increase was attributed to a rise in the incidence of gallstone pancreatitis
Symptomatic choledocholithiasis and gallstone pancreatitis
is the most common pancreaticobiliar y disease during pregnancy and is detrimental for both mother and foetus.
(6) Kakoza et al described a 40-year-old woman diagnosed at 24 weeks gestation with cholecystitis and gallstone pancreatitis
. ERCP was limited by a large duodenal ulcer, and duodenal mucosal biopsy revealed invasive adenocarcinoma.
A 71-year-old man underwent elective laparoscopic cholecystectomy following an episode of gallstone pancreatitis
. Postoperative recovery was uneventful.