Cholecystectomy Beats ERCP for Gallstone-Related Pancreatitis

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.

Journal Article by Selin D, Oskarsson V (…) Sadr-Azodi O et 8 al. in JAMA Surg

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