When it comes to frail geriatric patients with acute biliary pancreatitis (ABP), opting for early cholecystectomy (CCY) during the index admission is a wise choice. A study comparing these patients to those managed nonoperatively (NOM) through endoscopic procedures found that CCY led to significantly lower 6-month rates of complications, readmissions, mortality, and fewer days spent in the hospital. NOM was less successful, with 1 in 7 patients experiencing failure within 6 months, leading to unplanned CCY and associated complications. Early CCY is recommended for these patients when feasible.
Journal Article by Nelson AC, Bhogadi SK (…) Joseph B et 6 al. in J Am Coll Surg
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