5% of symptomatic patients with choleliathiasis can get gallstone pancreatitis
30% recurrence if gallbladder not removed
QUESTION: In gallstone pancreatitis, when do you do a lap chole? and who gets an ERCP?
ANSWER:
wait for lipase to decrease to near normal and near resolution of
symptoms and BEFORE DISCHARGE - if concerned for biliary obstruction
(hyperbilirubinemia) or prior cholangitis get a pre op ERCP to clear
duct
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