Timing of cholecystectomy in patients with gallstone pancreatitis remains controversial. In this small trial, 50 patients with mild pancreatitis (Ranson score 3 or less) were randomized to early cholecystectomy (within 48 hours) or late cholecystectomy (after resolution of pain and improvement in labs). Those in the early group had significantly shorter LOS (mean 3.5 vs 5.8 days) with no difference need for open procedure or peri-operative complications. Early cholecystectomy in patients with mild gallstone pancreatitis may shorten hospital LOS without increasing complications (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.