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Endoscopic intervention and cholecystectomy in pregnant women with acute biliary pancreatitis decrease early
Anjuli K Luthra1, Kishan P Patel2, Feng Li1
1Division of Gastroenterology, Hepatology, and Nutrition, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Gastrointestinal Endoscopy
|December 4, 2018
Summary
Pregnant women with acute biliary pancreatitis face higher readmission risks. Less frequent ERCP and cholecystectomy during pregnancy contribute to this, suggesting these procedures could reduce readmissions.
Area of Science:
- Gastroenterology
- Obstetrics & Gynecology
- Public Health
Background:
- Acute biliary pancreatitis (ABP) presents increased morbidity risks during pregnancy.
- Population-based studies on ABP in pregnancy are scarce, necessitating national-level outcome analysis.
Purpose of the Study:
- To investigate clinical outcomes of hospitalized pregnant women with ABP.
- To evaluate the impact of pregnancy on early readmission and severe acute pancreatitis (SAP) in ABP patients.
Main Methods:
- Utilized the Nationwide Readmission Database (2011-2014) for US hospitalizations of women aged ≥18 with ABP.
- Employed multivariate and propensity-score matched analyses to compare outcomes between pregnant and non-pregnant women.
Main Results:
- Pregnant women with ABP had a 16.26% 30-day readmission rate, with 57% due to ABP adverse events.
- Pregnancy was associated with increased 30-day readmission risk (OR, 1.96) but not SAP risk (OR, 1.09).
- ERCP and cholecystectomy were performed less frequently in pregnant women, and these procedures reduced readmission odds.
Conclusions:
- Pregnant women with ABP undergo less frequent endoscopic biliary decompression and cholecystectomy.
- Timely intervention with ERCP and cholecystectomy may reduce early readmissions in pregnant women with ABP.
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