Management of acute gallstone pancreatitis: so the story continues

ANZ Journal of Surgery
David T Chiang, Graeme Thompson

Abstract

Surgical audit on management of mild acute gallstone pancreatitis at Western Health showed that non-compliance of carrying out laparoscopic cholecystectomy or endoscopic retrograde cholangiopancreatography and sphincterectomy within 4 weeks had resulted in a high readmission rate. Modification of management was then instituted and audit cycle repeated to assess the outcome. Medical records of patients with mild acute gallstone pancreatitis between January 2000 and February 2002 were audited. The pathology results and medical imaging suggestive of acute gallstone pancreatitis were analysed. Patients with less than three positive Ranson's criteria were included in the surgical audit. Information on the course of treatment, including method (laparoscopic cholecystectomy or endoscopic retrograde cholangiopancreatography and sphincterectomy), timing, reason of non-operation and outcome were recorded. Reasons for failing to remove stones in a timely fashion were identified and strategies to improve compliance with the guidelines were implemented. An audit was repeated 10 months later to assess changes in practice. The rate of carrying out timely stone removal has improved from 57 to 82% at the follow-up audit. The readmission rate ha...Continue Reading

References

May 1, 1979·Annals of Surgery·J H Ranson
Jan 4, 1986·Lancet·R GruerC V Ruckley
Oct 1, 1988·The British Journal of Surgery·J P NeoptolemosD P Fossard
Aug 1, 1974·Archives of Surgery·T R Kelly
Nov 25, 2000·The Journal of Laryngology and Otology·V SrinivasanG O'Sullivan
Feb 13, 2001·The Journal of Hospital Infection·J S ReillyR Hill
Mar 12, 2002·Archives of Pharmacal Research·Seongwon Choi
May 10, 2002·Journal of Gastroenterology and Hepatology·J ToouliUNKNOWN Working Party of the Program Commitee of the Bangkok World Congress of Gastroenterology 2002

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Citations

Aug 14, 2010·Surgical Endoscopy·D Wayne OverbyUNKNOWN Society of American Gastrointestinal and Endoscopic Surgeons
Apr 29, 2010·Current Gastroenterology Reports·Bechien U Wu, Darwin L Conwell
Apr 1, 2014·The Surgical Clinics of North America·Daniel CucherEvan S Ong
Jul 9, 2013·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Laura CastoldiUNKNOWN ProInf-AISP (Progetto Informatizzato Pancreatite Acuta, Associazione Italiana per lo Studio del Pancreas) Study Group
Sep 14, 2013·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Adrian C VladaSteven J Hughes
Sep 29, 2011·Gastrointestinal Endoscopy·John T MapleJason A Dominitz
Sep 21, 2011·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Magdalena M Sakowska, Saxon Connor
Oct 22, 2010·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Paolo De RaiUNKNOWN ProInf-AISP (Progetto Informatizzato Pancreatite Acuta, Associazione Italiana per lo Studio del Pancreas [Computerized Proje
Jun 29, 2011·The British Journal of Surgery·O J BakkerUNKNOWN Dutch Pancreatitis Study Group
Jul 8, 2010·The American Journal of Gastroenterology·Benjamin P T LovedayJohn A Windsor
Jul 8, 2009·Nature Reviews. Gastroenterology & Hepatology·Juhani Sand, Isto Nordback

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