TY - JOUR
T1 - Colicky pain and related complications after cholecystectomy for mild gallstone pancreatitis
AU - Dutch Pancreatitis Study Group
AU - da Costa, David W.
AU - Schepers, Nicolien J.
AU - Bouwense, Stefan A.
AU - Hollemans, Bob A.
AU - Doorakkers, Eva
AU - Boerma, Djamila
AU - Rosman, Camiel
AU - Dejong, Cees H.
AU - Spanier, Marcel B. W.
AU - van Santvoort, Hjalmar C.
AU - Gooszen, Hein G.
AU - Besselink, Marc G.
PY - 2018
Y1 - 2018
N2 - Background: Same-admission cholecystectomy is advised after gallstone pancreatitis to prevent recurrent pancreatitis, colicky pain and other complications, but data on the incidence of symptoms and complications after cholecystectomy are lacking. Methods: This was a prospective cohort study during the previously published randomized controlled PONCHO trial on timing of cholecystectomy after mild gallstone pancreatitis. Data on healthcare consumption and questionnaires focusing on colicky pain and biliary complications were obtained during 6 months after cholecystectomy. Main outcomes were (i) postoperative colicky pain as reported in questionnaires and (ii) medical treatment for postoperative symptoms and gallstone related complications. Results: Among 262 patients who underwent cholecystectomy after mild gallstone pancreatitis, 28 of 191 patients (14.7%) reported postoperative colicky pain. The majority of these were reported within 2 months after surgery and were single events. Overall, 25 patients (9.5%) required medical treatment for symptoms or gallstone related complications. Acute readmission was required in seven patients (2.7%). No predictors for the development of postoperative colicky pain were identified. Discussion: Some 15% of patients experienced colicky pain after cholecystectomy for mild gallstone pancreatitis, which were mostly single events and rarely required readmission. These data may be used to better inform patients undergoing cholecystectomy for mild gallstone pancreatitis.
AB - Background: Same-admission cholecystectomy is advised after gallstone pancreatitis to prevent recurrent pancreatitis, colicky pain and other complications, but data on the incidence of symptoms and complications after cholecystectomy are lacking. Methods: This was a prospective cohort study during the previously published randomized controlled PONCHO trial on timing of cholecystectomy after mild gallstone pancreatitis. Data on healthcare consumption and questionnaires focusing on colicky pain and biliary complications were obtained during 6 months after cholecystectomy. Main outcomes were (i) postoperative colicky pain as reported in questionnaires and (ii) medical treatment for postoperative symptoms and gallstone related complications. Results: Among 262 patients who underwent cholecystectomy after mild gallstone pancreatitis, 28 of 191 patients (14.7%) reported postoperative colicky pain. The majority of these were reported within 2 months after surgery and were single events. Overall, 25 patients (9.5%) required medical treatment for symptoms or gallstone related complications. Acute readmission was required in seven patients (2.7%). No predictors for the development of postoperative colicky pain were identified. Discussion: Some 15% of patients experienced colicky pain after cholecystectomy for mild gallstone pancreatitis, which were mostly single events and rarely required readmission. These data may be used to better inform patients undergoing cholecystectomy for mild gallstone pancreatitis.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85044589076&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/29602557
U2 - https://doi.org/10.1016/j.hpb.2018.02.638
DO - https://doi.org/10.1016/j.hpb.2018.02.638
M3 - Article
C2 - 29602557
SN - 1365-182X
VL - 20
SP - 745
EP - 751
JO - HPB: The official journal of the International Hepato Pancreato Biliary Association
JF - HPB: The official journal of the International Hepato Pancreato Biliary Association
IS - 8
ER -