ResearcherID - CLICK HERE Scientific Journal Impact Factor (SJIF-2020) - CLICK HERE

COMPLICATIONS OF EARLY CHOLECYSTECTOMY IN ACUTE BILIARY PANCREATITIS

Narjis Batool, Nayab Mustansar, Bilal Ahmed

Objective: To determine the complications of early cholecystectomy in acute biliary pancreatitis. Study design; Descriptive cases series. Place and duration of study; Lahore General Hospital, Jinnah Hospital Lahore, RHC Kalapani Abbottabad, during June 2018 to December 2018. Material and methods; The cases of acute biliary pancreatitis diagnosed clinically with epigastric pain, tenderness and vomiting with raised pancreatic enzymes with history of gall stones were included. There were cases of both gender with age 18 years or more. Alcoholics and the cases in shock were excluded. The cases underwent open or laparoscopic cholecystectomy in the same admission within 5 days of admission. These cases were then followed to look for duration of surgery, duration of hospital stay and recurrence of pancreatic. Final outcome was seen at 3 months to look for recurrence. Results; In the present study, 50 cases of acute biliary pancreatitis were selected. There were 20 (40%) males and 30 (60%) females. The mean at presentation was 43.56± 4.68 years. The mean duration of surgery was observed as 54.56± 12.33 minutes. Total complications were seen in 9 (18%) of the cases; few had combination of these. The most common complication seen was prolonged duration of hospital stay seen in 9 (18%) of the cases; followed by prolonged duration of surgery seen in 5 (10%) of cases and recurrent pancreatitis seen in 4 (8%) of the cases. Conclusion; Early cholecystectomy has higher compilations rate and the most common is long duration of hospital stay. Key words; Pancreatitis, Early cholecystectomy

FULL TEXT