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Pregnant patients have an increased risk for developing gallstone disease, including both cholecystitis and choledocholithiasis. Surgeons and endoscopists are often reluctant to perform cholecystectomy and endoscopic retrograde cholangiopancreatography (ERCP) in these patients, given concerns about fetal and maternal health and safety. These investigators evaluated the effect on readmissions of timely biliary intervention for acute biliary pancreatitis (ABP) in pregnant patients.
They analyzed a large national database over a 3-year period, during which almost 8,000 ABP-related hospitalizations occurred in pregnant women. The 30-day readmission rate in these women was 16%, 57% of which were due to adverse events secondary to ABP. Compared wi…