Case Series Assessing the Status of Post-Endoscopic Retrograde Cholangiopancreatography Cholecystectomy in Patients with Gallstone Disease
by Vanessa I. Rodriguez1*, Afrin Naz2, Rasika Patil2, Athanasios Tsalatsanis2, Brijesh B. Patel3,4
1Department of Internal Medicine, Vanderbilt University Medical Center, Nashville, TN, USA
2Department of Internal Medicine, University of South Florida, Tampa, FL, USA
3Division of Digestive Diseases and Nutrition, University of South Florida, Tampa, FL, USA
4James A. Haley VA Hospital, Tampa, FL, USA
Corresponding author: Vanessa I. Rodriguez, Department of Internal Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, Tampa General Cir, Tampa, Florida, USA
Received Date: 23 July 2025
Accepted Date: 04 August 2025
Published Date: 07August 2025
Citation: Rodriguez VI, Naz A, Patil R, Tsalatsanis A, Patel BB (2025) Assessing the Status of Post-Endoscopic Retrograde Cholangiopancreatography Cholecystectomy in Patients with Gallstone Disease. J Dig Dis Hepatol 10: 228. https://doi.org/10.29011/2574-3511.100228
Abstract
Introduction: Gallstone pancreatitis, choledocholithiasis, cholelithiasis, and cholangitis are common reasons for hospitalization in the US. However, despite efforts to standardize guidelines, the timing of cholecystectomy following endoscopic retrograde cholangiopancreatography (ERCP) remains variable across clinical practice. This study was performed to highlight discrepancies between clinical practice and standardized guidelines and protocols. Methods: Data was obtained from the TriNetX federated health research network. Included were patients diagnosed with cholangitis, gallstone pancreatitis, choledocholithiasis, or cholelithiasis who underwent ERCP between January 2022 and November 2023, with focused placed on rate of cholecystectomy at the index event in each diagnostic group. Results : Out of 1,043 patients diagnosed with gallstone pancreatitis, 10 underwent cholecystectomy following ERCP, representing a rate of 0.1%. Among 1,658 patients diagnosed with choledocholithiasis, 12 underwent cholecystectomy post-ERCP, equating to a rate of 0.72%. For the 528 patients diagnosed with cholangitis, 10 underwent cholecystectomy post-ERCP, accounting for a rate of 1.90%. Conclusion: Our data supports the notion that many institutions have yet to implement standard of care practices for cholecystectomy into their management of gallstone disease.
© by the Authors & Gavin Publishers. This is an Open Access Journal Article Published Under Attribution-Share Alike CC BY-SA: Creative Commons Attribution-Share Alike 4.0 International License. Read More About Open Access Policy.