Same-admission cholecystectomy lowers recurrence of acute pancreatitis compared to ERCP or no intervention.

• Recurrence rates post-discharge: 3.4% (cholecystectomy), 4.9% (ERCP), and 17.5% (no intervention).
• Other gallstone complications: 1.6% in the cholecystectomy group versus 19.9% (ERCP) and 16.3% (no intervention).

Prioritizing immediate cholecystectomy can improve long-term outcomes in suitable patients.

• Risk of recurrence surged 8 to 14 days post-ERCP but stabilized afterward.