ERCP and elective cholecystectomy are safe in pregnant patients with acute biliary pancreatitis

The benefits of ERCP in the management of acute biliary pancreatitis in pregnancy and its reduction in early readmission is described in this issue by Luthra et  al.1 Using administrative data of the Nationwide Readmission Database (2011-2014), the authors found that pregnant women were less likely to receive ERCP or laparoscopic cholecystectomy in acute biliary pancreatitis (ABP) and had higher 30-day readmission rates compared with nonpregnant women. The se data build on prior work by Othman et al,2 who reported that conservative treatment (without ERCP) of 112 pregnant patients with symptomatic choledocholithiasis was associated with further episodes of biliary symptoms, an increased number of emergency department visits, and biliary-related hospi talizations.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Original article Source Type: research