Acute biliary pancreatitis in cholecystectomised patients

dc.contributor.authorÇiftçi, Fatih
dc.contributor.authorAnuk, Turgut
dc.date.accessioned2023-10-13T14:40:07Z
dc.date.available2023-10-13T14:40:07Z
dc.date.issued2017en_US
dc.departmentSağlık Bilimleri Fakültesien_US
dc.description.abstractOBJECTIVE: The present study is an evaluation of cases of acute biliary pancreatitis that developed subsequent to cholecystectomy. METHODS: Total of 44 patients were assessed in this retrospective study. Demographic characteristics, severity of illness, time elapsed between cholecystectomy and development of pancreatitis, whether endoscopic sphincterotomy (ES) was performed, surgical procedure used, duration of hospitalization, and mortality data were recorded. RESULTS: Mean age of all patients was 60.14±16.4 years (range: 20–85 years), and female:male ratio was 28:16. Mean length of time elapsed between cholecystectomy and development of acute pancreatitis was 80.6 months (range: 5–230 months). Gallstones and biliary sand were found in the choledochi of 36 patients upon endoscopic retrograde cholangiopancreatography (ERCP), but not observed in the remaining 8 patients. ES was performed and material was extracted in 32 of the 36 patients, but stone extraction was unsuccessful in 4 cases; 3 patients underwent open surgery with choledochus exploration and 1 patient died. Excluding this patient, mean duration of hospitalization was 7.5±2.5 days. CONCLUSION: Stones in bile ducts may remain asymptomatic for long periods after cholecystectomy. However, some stones trigger acute pancreatitis months or years after cholecystectomy, causing risk of mortality. ERCP and ES are the standard treatments. If these are unsuccessful, the choledochus may be explored via open or laparoscopic surgery.en_US
dc.identifier.doi10.14744/nci.2017.08108en_US
dc.identifier.endpage76en_US
dc.identifier.issn2148-4902
dc.identifier.issn2536-4553
dc.identifier.issue1en_US
dc.identifier.pmid28752146en_US
dc.identifier.startpage73en_US
dc.identifier.trdizinid241688en_US
dc.identifier.urihttps://hdl.handle.net/11363/5874
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/241688
dc.identifier.urihttps://doi.org/
dc.identifier.volume4en_US
dc.identifier.wosWOS:000408984000011en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorÇiftçi, Fatih
dc.language.isoenen_US
dc.publisherAli Cangülen_US
dc.relation.ispartofİstanbul Kuzey Kliniklerien_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.subjectAcute biliary pancreatitisen_US
dc.subjectCholecystectomyen_US
dc.subjectEndoscopic retrograde cholangiopancreatographyen_US
dc.subjectEndoscopic sphincterotomyen_US
dc.titleAcute biliary pancreatitis in cholecystectomised patientsen_US
dc.typeArticleen_US

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