Meta‐analysis of Randomized Clinical Trials of Early Versus Delayed Cholecystectomy for Mild Gallstone Pancreatitis
BRITISH JOURNAL OF SURGERY(2019)
Abstract
Gallstones account for 30–50 per cent of all presentations of acute pancreatitis. While the management of acute pancreatitis is usually supportive, definitive treatment of gallstone pancreatitis is cholecystectomy. Guidelines from the British Society of Gastroenterology suggest definitive treatment on index admission or within 2 weeks of discharge, whereas joint recommendations from the International Association of Pancreatology and the American Pancreatic Association recommend definitive treatment on index admission. Evidence suggests that uptake of these guidelines is low.
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