ArticleJournal of the Canadian Association of Gastroenterology2026
Determinants and outcomes of early cholecystectomy for mild gallstone pancreatitis in British Columbia, Canada.
Article in Journal of the Canadian Association of Gastroenterology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Early cholecystectomy is recommended for patients with gallstone pancreatitis to reduce recurrent gallstone-related adverse events. However, the management of patients with gallstone pancreatitis in British Columbia (BC) is not known. This study aims to determine the prevalence of early cholecystectomy and outcomes among patients admitted in BC with mild gallstone pancreatitis. Methods: A retrospective multicentre cohort of patients with gallstone pancreatitis admitted from 2018 to 2023 to 4 BC hospitals. Exclusion criteria included prior cholecystectomy, pancreatic cancer, and patients with moderate or severe pancreatitis. Patients receiving a cholecystectomy in ≤30 days were labelled early and compared to late cholecystectomy (>30 days) or no cholecystectomy. The primary outcome was recurrent biliary events, including cholecystitis, choledocholithiasis, and pancreatitis. Results: In total, 260 patients were included in the analysis and 35.0% had early cholecystectomy. Early cholecystectomy was associated with younger age (53.0 years vs 65.4 years, Conclusions: Early cholecystectomy reduces recurrent biliary events. Admission under surgery is associated with early cholecystectomy and may be important in achieving higher rates of index admission cholecystectomy.
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