{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T19:58:05Z","timestamp":1792612685538,"version":"4.5.0"},"reference-count":14,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2014,8,25]],"date-time":"2014-08-25T00:00:00Z","timestamp":1408924800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2014,8,25]],"date-time":"2014-08-25T00:00:00Z","timestamp":1408924800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2016,12]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n \n The aim of this study was to audit the current management of patients suffering with gallstone pancreatitis (\n GSP<\/jats:styled-content>\n ) at a university teaching hospital for compliance with the\n B<\/jats:styled-content>\n ritish\n S<\/jats:styled-content>\n ociety of\n G<\/jats:styled-content>\n astroenterology (\n BSG<\/jats:styled-content>\n ) guidelines regarding cholecystectomy post\u2010\n GSP<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Data were collected on all patients identified via the hospital coding department that presented with\n GSP<\/jats:styled-content>\n between\n J<\/jats:styled-content>\n anuary 2011 and\n N<\/jats:styled-content>\n ovember 2013. Patients with alcoholic pancreatitis were excluded. The primary outcome was the length of time in days from diagnosis of\n GSP<\/jats:styled-content>\n to cholecystectomy. Secondary outcomes included readmission with gallstone\u2010related disease prior to definitive management and admitting speciality.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n One hundred and fifty\u2010eight patients were identified with a presentation of\n GSP<\/jats:styled-content>\n during the study period. Thirty\u2010nine patients were treated conservatively. One hundred and six patients underwent laparoscopic cholecystectomy a median (interquartile range) interval of 33.5 days (64 days) post\u2010admission. Patients with a severe attack as classified by the\n G<\/jats:styled-content>\n lasgow severity score (\n n<\/jats:italic>\n = 16) waited a median of 79.5 days (71.5) for cholecystectomy. Only 32% (\n n<\/jats:italic>\n = 34) of patients with mild disease underwent cholecystectomy during the index admission or within 2 weeks. When grouped by admitting speciality, patients admitted initially under hepatobiliary surgery waited significantly fewer days for definitive treatment compared with other specialities (\n P<\/jats:italic>\n < 0.0001). Twenty\u2010one patients (19.8%) re\u2010presented with gallstone\u2010related pathology prior to undergoing cholecystectomy.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n Only 32.1% were treated as per\n BSG<\/jats:styled-content>\n guidelines. About 19.8% (\n n<\/jats:italic>\n = 21) of the patients suffered further morbidity as a result of a delayed operation and there is a clear difference between admitting speciality and the median time to operation.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ans.12827","type":"journal-article","created":{"date-parts":[[2014,8,25]],"date-time":"2014-08-25T06:09:38Z","timestamp":1408946978000},"page":"1024-1027","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Are we meeting the\n B<\/scp>\n ritish\n S<\/scp>\n ociety of\n G<\/scp>\n astroenterology guidelines for cholecystectomy post\u2010gallstone pancreatitis?"],"prefix":"10.1111","volume":"86","author":[{"given":"Lee R.","family":"Creedon","sequence":"first","affiliation":[{"name":"Department of Hepatobiliary Surgery Royal Derby Hospital Derby UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Neophytou","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery Royal Derby Hospital Derby UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul C.","family":"Leeder","sequence":"additional","affiliation":[{"name":"Department of Upper Gastrointestinal Surgery Royal Derby Hospital Derby UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Altaf K.","family":"Awan","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery Royal Derby Hospital Derby UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,8,25]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00534-005-1047-3"},{"issue":"9","key":"e_1_2_6_3_1","doi-asserted-by":"crossref","DOI":"10.1002\/14651858.CD010326","article-title":"Early versus delayed laparoscopic cholecystectomy for acute gallstone pancreatitis","author":"Gurusamy KS","year":"2013","journal-title":"Cochrane Database Syst. 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