Devica S Umans, Hester C Timmerhuis, Marie-Paule G F Anten, Abha Bhalla, Rina A Bijlsma, Lotte Boxhoorn, Menno A Brink, Marco J Bruno, Wouter L Curvers, Brechje C van Eijck, G Willemien Erkelens, Erwin J M van Geenen, Wouter L Hazen, Chantal V Hoge, Lieke Hol, Akin Inderson, Liesbeth M Kager, Sjoerd D Kuiken, Lars E Perk, Rutger Quispel, Tessa E H Römkens, Christina J Sperna Weiland, Annemieke Y Thijssen, Niels G Venneman, Robert C Verdonk, Roy L J van Wanrooij, Ben J Witteman, Marc G Besselink, Jeanin E van Hooft
BACKGROUND: Cholecystectomy in patients with idiopathic acute pancreatitis (IAP) is controversial. A randomized trial found cholecystectomy to reduce the recurrence rate of IAP but did not include preoperative endoscopic ultrasonography (EUS). As EUS is effective in detecting gallstone disease, cholecystectomy may be indicated only in patients with gallstone disease. This study aimed to determine the diagnostic value of EUS in patients with IAP, and the rate of recurrent pancreatitis in patients in whom EUS could not determine the aetiology (EUS-negative IAP)...
November 9, 2023: British Journal of Surgery