Early ERCP cuts mortality in acute cholangitis from CBD stones.

Urgent ERCP (within 24 hours) significantly reduced in-hospital mortality to 0.5% compared to 21% for non-urgent (adjusted OR 0.09; p=0.024).
Median hospital stay was shorter with urgent ERCP (5 days vs 8 days; p<0.001).

Surgeons should prioritize early ERCP for moderate to severe cases to improve outcomes.

Mortality benefits were pronounced in moderate and severe cholangitis but absent in mild cases.

Journal Article by Kongsakon R, Rugivarodom M (…) Pausawasdi N et 3 al. in Surg Endosc

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