Endoscopic Management of Pancreaticobiliary Disease

Vozzo, Catherine F.; Sanaka, Madhusudhan R.

doi:10.1016/j.suc.2020.08.006

Cited by 16 publications

(20 citation statements)

References 83 publications

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“…According to the researchers, single-stage procedures were associated with greater patient comfort and a shorter duration of anesthesia. [11,[19][20][21] When it comes to acute cholecystitis and performing ERCP, randomized controlled studies are scarce, as well as systematic reviews and meta-analyses that address not only the ideal time to complete the procedure, whether before, during, or after LC, as well as complication rates, hospital costs, pain scores, patient satisfaction, quality of life, morbidity and mortality and problem resolution.…”

Section: Discussionmentioning

confidence: 99%

“…[14][15][16] The standardized surgical treatment for acute cholecystitis is LC, which is associated with better recovery, lower morbidity and mortality, and shorter hospital stay. [11,17] In this scenario, ERCP is configured as a diagnostic and therapeutic means for gallstones. However, it is an invasive procedure that requires technical knowledge and an excellent learning curve to obtain the desired results.…”

Section: Introductionmentioning

confidence: 99%

“…[9,10] When stones are identified in the central bile duct and those stuck in the vesicular infundibulum, cholecystectomy requires complementation with exploring the bile ducts. [11] Endoscopic retrograde cholangiopancreatography (ERCP) is highly sensitive and specific for choledocholithiasis, but its most important use occurs after a confirmed diagnosis of choledocholithiasis, having both diagnostic and therapeutic functions. ERCP can be performed before, during, or after cholecystectomy.…”

Section: Introductionmentioning

confidence: 99%

“…When stones are identified in the central bile duct and those stuck in the vesicular infundibulum, cholecystectomy requires complementation with exploring the bile ducts. [ 11 ]…”

Section: Introductionmentioning

confidence: 99%

“…The standardized surgical treatment for acute cholecystitis is LC, which is associated with better recovery, lower morbidity and mortality, and shorter hospital stay. [ 11 , 17 ]…”

Section: Introductionmentioning

confidence: 99%

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Cholecystectomy before, simultaneously, or after ERCP in patients with acute cholecystitis: A protocol for systematic review and/or meta analysis

Medeiros

Fernandes²,

Gonçalves³

et al. 2022

Medicine

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Introduction: Cholecystectomy is the intervention of choice for treating acute cholecystitis; when conservative management does not work, it operates on the patient outside the critical condition. It can be performed together with or after endoscopic papillotomy through endoscopic retrograde cholangiopancreatography (ERCP) when it is concurrent with a situation of cholechodocolithiasis or when there is compression and consequent increase in pressure in the bile duct caused by a calculus jammed in the vesicular infundibulum (Mirizzi’s syndrome), with or without jaundice, fever, and pain in the right hypochondrium (Charcot’s Triad), which can progress to sepsis of biliary origin. This review aims to assess whether the timing of cholecystectomy (before or after ERCP) interferes with the postoperative period and clinical outcome in patients with acute cholecystitis. Methods and Analysis: By searching the MEDLINE/PubMed, Embase, Web of Science, ScienceDirect, ClinicalTrials.gov , CINAHAL, Latin American and Caribbean Literature in Health Sciences, Scopus and Cochrane Central databases, Controlled Trials Registry Randomized clinical trials will be searched to analyze whether ERCP performed before or after open or laparoscopic cholecystectomy (LC) in patients with acute cholecystitis is beneficial or not, through the analysis of postoperative complications. No language or publication period restrictions will be imposed. The primary outcome will be postoperative complications (postoperative morbidity and mortality). Four independent reviewers will select the studies and extract data from the original publications, with a fifth reviewer in case of disagreement regarding the inclusion or not of particular research in the present review. The risk of bias will be assessed using The Risk of Bias 2 (RoB 2.0) tool, and the certainty of evidence will be evaluated using the grading of recommendations assessment, development, and evaluation. Data synthesis will be performed using the Review Manager software (RevMan V.5.2.3). To assess heterogeneity, we will calculate the I 2 statistics. Additionally, a quantitative synthesis will be performed if the included studies are sufficiently homogeneous. Ethics and Disclosure: Since the present study will review secondary data, previously published and scientifically validated, it will not be necessary to obtain ethical approval. The results of this systematic review will be published in a peer-reviewed journal. Prospero registration number: International Prospective Registry of Systematic Reviews (PROSPERO) CRD42021290726.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…When stones are identified in the central bile duct and those stuck in the vesicular infundibulum, cholecystectomy requires complementation with exploring the bile ducts. [ 11 ]…”

Section: Introductionmentioning

confidence: 99%

“…The standardized surgical treatment for acute cholecystitis is LC, which is associated with better recovery, lower morbidity and mortality, and shorter hospital stay. [ 11 , 17 ]…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations