You are not logged in.
Openly accessible

How does cholecystectomy influence recurrence of idiopathic acute pancreatitis?

Stevens, Claire L., Abbas, Saleh M. and Watters, David A. K. 2016, How does cholecystectomy influence recurrence of idiopathic acute pancreatitis?, Journal of gastrointestinal surgery, vol. 20, no. 12, pp. 1997-2001, doi: 10.1007/s11605-016-3269-x.

Attached Files
Name Description MIMEType Size Downloads
watters-howsdoes-2016.pdf Published version application/pdf 415.20KB 1

Title How does cholecystectomy influence recurrence of idiopathic acute pancreatitis?
Author(s) Stevens, Claire L.
Abbas, Saleh M.
Watters, David A. K.
Journal name Journal of gastrointestinal surgery
Volume number 20
Issue number 12
Start page 1997
End page 2001
Total pages 5
Publisher Springer
Place of publication Berlin, Germany
Publication date 2016-12
ISSN 1091-255X
Keyword(s) Cholecystectomy
Pancreatitis
Recurrence
Summary Background
Idiopathic acute pancreatitis is diagnosed in approximately 10–30 % of cases of acute pancreatitis. While there is evidence to suggest that the cause in many of these patients is microlithiasis, this fact has not been translated into a resource efficient treatment strategy that is proven to reduce recurrence rates. The aim of this study was to examine the value of prophylactic cholecystectomy following an episode of acute pancreatitis in patients with no history of alcohol abuse and no stones found on ultrasound.

Methods
This was a retrospective study of 2236 patients who presented to a regional Australian hospital. Patients were included when diagnosed with acute pancreatitis with no confirmed cause. Recurrence of acute pancreatitis was compared between those that did and did not undergo cholecystectomy.

Results
One hundred ninety-five consecutive patients met the study definition of “idiopathic” acute pancreatitis. 33.8 % (66/195) underwent cholecystectomy. The patients who had cholecystectomy had a recurrence rate of 19.7 % (13/66) whereas, of those managed expectantly, 42.8 % (68/159) had at least one recurrence of acute pancreatitis (P = 0.001).

Conclusions
Following an episode of acute pancreatitis with no identifiable cause, in patients fit for surgery, cholecystectomy should be considered to reduce the risk of recurrent episodes of pancreatitis.
Language eng
DOI 10.1007/s11605-016-3269-x
Field of Research 110399 Clinical Sciences not elsewhere classified
1103 Clinical Sciences
Socio Economic Objective 0 Not Applicable
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30099966

Document type: Journal Article
Collections: School of Medicine
Open Access Collection
Connect to link resolver
 
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.

Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 2 times in TR Web of Science
Scopus Citation Count Cited 2 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 9 Abstract Views, 1 File Downloads  -  Detailed Statistics
Created: Wed, 26 Jul 2017, 13:56:12 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.