O-EGS05 The Prevalence of Bile Duct Stones in Patients Presenting with Acute Pancreatitis vs. Jaundice in a 5774 patient series. The Case for Single Session Surgical Management

Abstract Background There is increasing evidence that single session laparoscopic cholecystectomy with cholangiography and, when necessary and available, bile duct exploration offers optimal clinical outcomes superior cost benefits to patients suspected stones. a perception preoperative endoscopic clearance of stones in presenting pancreatitis jaundice. However, most do not have severe disease are fit for index admission surgical management. We aim study the prevalence vs. jaundice evaluate this management approach regards operative parameters postoperative outcomes. Methods Analysis prospectively maintained database 5774 consecutive cholecystectomies, cholangiography(IOC) or without was undertaken. Patients referred one firm an intention treatment admission. Data acute obstructive extracted. In absence malignancy there limited role MRCP ERCP. The incidence confirmed CBD requiring exploration, type morbidity, re-operations readmissions, hospital stay, number episodes, presentation resolution intervals were compared two groups. Results Conclusions Single by specialist firms (89% 86% if previous admissions other units excluded) many advantages. ERCP utilisation minimised favour IOC; thirds third jaundiced no Simple transcystic explorations deals both open conversion, retained low. Total episodes optimised should persuade surgeons avoid subjecting multiple treatments.