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Patients with gallstone pancreatitis (GSP) often require multiple interventions, most notably cholecystectomy, as well as endoscopic retrograde cholangiopancreatography (ERCP), if they have choledocholithiasis. However, when to perform cholecystectomy for patients with GSP is unclear. Some studies have shown that early cholecystectomy is safe, although many surgeons prefer to wait until pancreatic inflammation resolves.
Now, investigators have conducted a single-center, randomized trial involving 97 GSP patients assigned to undergo early cholecystectomy (within 24 hours of presentation) or later cholecystectomy (after clinical resolution of symptoms and lab values; controls).
Results were as follows:
30-day hospital length of stay (the primary…