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©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Apr 28, 2022; 28(16): 1692-1704
Published online Apr 28, 2022. doi: 10.3748/wjg.v28.i16.1692
Published online Apr 28, 2022. doi: 10.3748/wjg.v28.i16.1692
Evaluating the accuracy of American Society for Gastrointestinal Endoscopy guidelines in patients with acute gallstone pancreatitis with choledocholithiasis
Supisara Tintara, Cristina S Sorrento, Cinthana Kandasamy, Department of Internal Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, United States
Ishani Shah, William Yakah, Awais Ahmed, Steven D Freedman, Sunil G Sheth, Division of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, United States
Darshan J Kothari, Division of Gastroenterology, Duke University Medical Center, Durham, NC 27710, United States
Darshan J Kothari, Division of Gastroenterology, Durham VA Medical Center, Durham, NC 27705, United States
Author contributions: Tintara S, Shah I, Ahmed A, Freedman SD, Kothari DJ and Sheth SG contributed to the study design and coordination; Tintara S contributed to the acquisition and interpretation of data, and primarily drafting the manuscript; Shah I assisted in drafting the manuscript; Yakah W contributed to the acquisition and interpretation of data and statistical analysis; Ahmed A, Sorrento CS and Kandasamy C contributed to the acquisition of data; Freedman SD contributed to revision of manuscript for intellectual content; Kothari DJ and Sheth SG contributed to the interpretation and analysis of data, revision of manuscript for intellectual content, and study supervision; All authors have approved the final draft submitted.
Institutional review board statement: This retrospective observational cohort study was approved by Beth Israel Deaconess Medical Center institutional review board.
Informed consent statement: Informed written consent was obtained fromthe patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors of this study have no relevant conflict of interests to declare.
Data sharing statement: Statistical code, and dataset available from the corresponding author at ssheth@bidmc.harvard.edu . This retrospective observational cohort study was approved by the Beth Israel Deaconess Medical Center institutional review board which did not require individual patient consent for retrospective chart review.
STROBE statement: This manuscript adheres to the applicable Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) reporting guidelines for cohort studies.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Sunil G Sheth, AGAF, FACG, FASGE, MBBS, MD, Associate Professor, Division of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Boston, MA 02215, United States. ssheth@bidmc.harvard.edu
Received: December 10, 2021
Peer-review started: December 10, 2021
First decision: January 27, 2022
Revised: February 7, 2022
Accepted: March 16, 2022
Article in press: March 16, 2022
Published online: April 28, 2022
Peer-review started: December 10, 2021
First decision: January 27, 2022
Revised: February 7, 2022
Accepted: March 16, 2022
Article in press: March 16, 2022
Published online: April 28, 2022
Core Tip
Core Tip: We demonstrated that more than half of patients with acute gallstone pancreatitis (AGP) have choledocholithiasis. We also found that approximately 2/3 of patients in the intermediate group and 83% of patients in the high risk group followed American Society for Gastrointestinal Endoscopy guidelines for management of choledocholithiasis in the setting of AGP. There was associated longer length of stay for patients undergoing magnetic resonance cholangiopancreatography (MRCP) in both groups. Importantly, one patient who had a normal endoscopic retrograde cholangiopancreatography (ERCP) in the intermediate group without preceding MRCP suffered from post ERCP pancreatitis, highlighting the risk of unnecessary procedures.