Dr Muhammad Wajahat, Dr Insa Irum, Dr Hassan Mumtaz
Aim: The purpose of this study is to assess early cholecystectomy in mild biliary pancreatitis. Study design: A prospective observational study. Place and duration: In the Surgical Unit II of Nishter Hospital Multan for one year duration from February 2019 to February 2020. Method: The study involved 50 patients with mild biliary pancreatitis and included patients older than 18 years who had the first episode of acute mild biliary pancreatitis. Patients older than 70 years, moderate to severe bile pancreatitis, pancreatic necrosis, peri-pleural fluid collection, chronic pancreatitis, alcohol abuse and pregnant women are excluded. Early open cholecystectomy was performed 48-72 hours after hospitalization. The last point was complications associated with surgery after early cholecystectomy in mild bile pancreatitis. The end point was the surgery related complications after early cholecystectomy in mild biliary pancreatitis. Results: A series of 50 patients with mild biliary pancreatitis was examined to detect complications associated with surgery. The morbidity rate was 8% with wound infection in 4%, subphrenic abscess in 2% and bile leakage in 2%. No mortality was observed in this study. There were no other attacks of pancreatitis after mild cholecystectomy due to mild bile pancreatitis. The average hospital stay was 13 days. Conclusion: It was found that early cholecystectomy can be safely performed without increasing morbidity after a mild biliary pancreatitis attack. Key words: biliary pancreatitis, gallstones, cholecystitis, ERCP, cholecystectomy.