459 Implication of Changes in Management of Acute Pancreatitis During COVID-19 Pandemic
Author(s) -
N. Ayoub,
A Aboelkhair,
Mandla Mlotshwa
Publication year - 2021
Publication title -
british journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.202
H-Index - 201
eISSN - 1365-2168
pISSN - 0007-1323
DOI - 10.1093/bjs/znab134.425
Subject(s) - medicine , pancreatitis , covid-19 , cholecystectomy , pandemic , complication , acute pancreatitis , general surgery , gall , surgery , disease , outbreak , pathology , infectious disease (medical specialty) , botany , biology
when COVID-19 pandemic stroked the country, the Royal College of Surgeons recommended cholecystectomy for gall stone pancreatitis could be delayed up to 12 weeks during Covid-19 pandemic. This may have exposed patients to recurrent gall stone morbidity and serious complications. Method Patients admitted with gall stone pancreatitis during Covid-19 period 12th March 2020 till 15th June 2020 to Western Sussex hospitals were analysed retrospectively for a period of 3 months post index submission. The endpoints were readmission rates and complication relating to gall stones. Results Conclusions Delaying cholecystectomy for gallstone pancreatitis to 3 months is associated with significant readmission rates and serious complications. Cholecystectomy for gallstone pancreatitis should be categorised as 1B or 2 during Covid-19 period.
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