A randomized controlled trial for comparing the results of early endoscopic retrograde cholangiopancreatography and conservative treatment in patients with acute gallstone pancreatitis
Keywords:
acute gallstone pancreatitis, ERCP, pancreatitis, results ERCPAbstract
Introduction: Gallstone pancreatitis is one of the most dangerous complications of gallstone disease with a high risk of complications and death. Therefore, accurate diagnosis and timely management of acute gallstone pancreatitis are very important. Most guidelines recommend urgent ERCP in cases of biliary obstruction with cholangitis. However, the best time to perform an ERCP in patients suffering from acute gallstone pancreatitis without cholangitis is not universally agreed upon. Aim: The purpose of this study was to compare the outcomes of early ERCP versus conservative management in patients with acute gallstone pancreatitis in terms of complications, mortality, and length of hospital stays. Materials and Methods: A randomized controlled trial was carried out at the Suez Canal University Hospitals between January 2020 and January 2022. After meeting the inclusion criteria, forty patients were enrolled in this study and were allocated randomly into ERCP and Conservative groups. A written informed consent form was taken from all patients. Patient demographics, symptoms, and a detailed history were all collected. Laboratory tests were performed and reported. ERCP's findings were reported. A total of 40 patients were included in the study. The average age was 42 years in the ERCP group and 39 in the conservative group.
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