Higher Rates of Late ERCP Post-Cholecystectomy Associated with Adverse Outcomes

Despite an increase in non-invasive biliary imaging, the rate of late-ERCP post-cholecystectomy has significantly risen, with high rates of adverse events including pancreatitis, hospitalization, and new chronic opioid use. Factors linked to late-ERCP included gut-brain interaction disorders, liver disease, and use of specific medications. Late-ERCPs are associated with disproportionately worse outcomes, suggesting the need for improved patient selection and management.