a practical cost-effective management strategy for gallstone pancreatitis:胆源性胰腺炎的一种实用的成本管理策略.pdfVIP

a practical cost-effective management strategy for gallstone pancreatitis:胆源性胰腺炎的一种实用的成本管理策略.pdf

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a practical cost-effective management strategy for gallstone pancreatitis:胆源性胰腺炎的一种实用的成本管理策略

The American Journal of Surgery (2013) 206, 472-477 Clinical Science A practical cost-effective management strategy for gallstone pancreatitis a,b b b Lawrence E. Tabone, M.D. , Molly Conlon, B.S. , Emil Fernando, B.S. , Sophia Yi, M.D.b, Sharfi Sarker, M.D., M.P.H.a,b, P. Marco Fisichella, M.D.a,b, Fred A. Luchette, M.D., M.Sc.a,b, * aDepartment of Surgery, Stritch School of Medicine, Loyola University of Chicago, 2160 South First Avenue, Maywood, IL 60153, USA; bStritch School of Medicine, Loyola University of Chicago, Maywood, IL, USA KEYWORDS: Abstract Choledocholithiasis; BACKGROUND: The purpose of this study was to evaluate the outcomes of various surgeon strate- Gallstone pancreatitis; gies used to evaluate and treat common duct stones (CDSs) in patients presenting with mild to moderate Endoscopic retrograde gallstone pancreatitis (GP). cholangiopancreato- METHODS: We performed a retrospective review of patients admitted for mild to moderate GP. Data graphy; variables included laboratory values and radiology images, indications for and findings of intraoperative Intraoperative cholangiogram (IOC) and endoscopic retrograde cholangiopancreatography (ERCP), length of stay cholangiogram; (LOS), and hospital charges. Data were stratified by 2 different management strategies: preoperative ERCP Laparoscopic and then laparoscopic cholecystectomy (LC) or LC with IOC followed by selective postoperative ERCP. cholecystectomy; RESULTS: During this time period, 80 patients met the study criteria, 56 were treated by LC with Hospital charges IO

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