TPW 7.04 Failure to Deliver Definitive Gallbladder Management after Endoscopic Retrograde Cholangiopancreatography for Choledocholithiasis: Rates, Delays, and Downstream Consequences in A Two-Hospital Scottish Health Board Cohort

Clicks: 1
ID: 324046
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal

Ranked #369 of 432 articles by views in the british journal of surgery

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 432 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract Aim To quantify completion and timeliness of definitive cholecystectomy after ERCP for bile duct stones (BDS), and downstream service utilisation, stratified by operative risk. Methods Retrospective service evaluation of consecutive adults undergoing index ERCP for BDS with gallbladder in situ (January 2023-December 2024) in two hospitals. Non-stone indications and prior cholecystectomy were excluded, and only the first ERCP per patient was analysed. Operative-risk strata were prespecified using ASA and Charlson: low (ASA 1–2 & Charlson 0–2), high (ASA 4–5 or Charlson ≥5), and medium otherwise. Definitive management was completed cholecystectomy after ERCP. Outcomes were completion, time to surgery (≤2 weeks; ≤12 weeks), and downstream readmissions, bed-days, and repeat ERCP. Results 356 patients (median age 72 years; 56.2% female) were included. Completed cholecystectomy occurred in 81/356 (22.8%; 95% CI 18.7%–27.4%); 4/356 (1.1%) had surgery attempted but not completed, and 21/356 (5.9%) were awaiting surgery at data-lock. Completion rates were 49/78 (62.8%) in low-risk, 30/141 (21.3%) in medium-risk, and 2/137 (1.5%) in high-risk patients. Among 80 patients with dated intervals, the median ERCP-to-cholecystectomy time was 104 days (IQR 49–224); surgery occurred within 2 weeks in 10/356 (2.8%) and within 12 weeks in 33/356 (9.3%). The cohort generated 122 biliary readmissions, 1087 bed-days, and 121 repeat ERCPs; patients without a completed cholecystectomy accounted for 61.5%, 67.2%, and 62.8%. Conclusion Definitive cholecystectomy after ERCP was infrequent and delayed, with a steep operative-risk gradient, and most downstream admissions, bed use, and repeat ERCP concentrated in patients without definitive management.
Reference Key
openalex_W7172481298 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Makthum Muwafikha Ismail, Charlotte Smith, S. Campbell, Diarmid Sutherland, Khurram Shahzad Khan
Journal the british journal of surgery
Year 2026
DOI
10.1093/bjs/znag087.374
URL
https://doi.org/10.1093/bjs/znag087.374
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.