caa a22 4500 475780094 CHVBK 20180406123642.0 cr unu---uuuuu 170329e20000301xx s 000 0 eng 10.1007/s004640000078 doi (NATIONALLICENCE)springer-10.1007/s004640000078 Intraoperative cholangiography and postoperative pancreatitis [Elektronische Daten] [S. Morgan, L. W. Traverso] Background: It has been suggested that intraoperative cholangiography (IOC) can cause postoperative pancreatitis. Methods: We studied the relationship between IOC and pancreatitis by reviewing the case histories of 500 patients (1992-97) who underwent cholecystectomy at our institution. In 82% of cases, the cholecystectomies were done laparoscopically, whereas, 7% were converted to an open procedure. An IOC was performed in 435/500, or 87%. During these studies, common bile duct (CBD) stones (or the possibility of a stone) were noted in 14% of the cases. An intraoperative CBD investigation was required in nine of 435 cases or 8.5%, while 28/435 (9.2%) underwent postoperative endoscopic retrograde cholangiopancreatography (ERCP). Results: Follow-up was available in 90% of our patients (452/500). We found six cases of postoperative pancreatitis; only three of 452 (0.6%) occurred <1 year after cholecystectomy. None of these patients had a preoperative history of pancreatitis. In all six cases, there appeared to be an etiology for the pancreatitis unrelated to IOC. Conclusion: We could find no statistical association between IOC and postoperative pancreatitis. Postoperative pancreatitis is uncommon at our institution, where routine IOC is employed. Therefore, we conclude that IOC does not cause pancreatitis. Springer-Verlag New York Inc., 2000 Key words: Cholecystectomy — Gallbladder — Intraoperative cholangiography — pancreatitis nationallicence Morgan S. Section of General, Thoracic, and Vascular Surgery, Virginia Mason Medical Center, 1100 Ninth Ave., Post Office Box 900 (C6-GSUR), Seattle, WA 98111, USA, USA aut Traverso L. W. Section of General, Thoracic, and Vascular Surgery, Virginia Mason Medical Center, 1100 Ninth Ave., Post Office Box 900 (C6-GSUR), Seattle, WA 98111, USA, USA aut Surgical Endoscopy Springer-Verlag 14/3(2000-03-01), 264-266 0930-2794 14:3<264 2000 14 464 https://doi.org/10.1007/s004640000078 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000078 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Morgan S. Section of General, Thoracic, and Vascular Surgery, Virginia Mason Medical Center, 1100 Ninth Ave., Post Office Box 900 (C6-GSUR), Seattle, WA 98111, USA, USA aut NATIONALLICENCE 700 1- Traverso L. W. Section of General, Thoracic, and Vascular Surgery, Virginia Mason Medical Center, 1100 Ninth Ave., Post Office Box 900 (C6-GSUR), Seattle, WA 98111, USA, USA aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/3(2000-03-01), 264-266 0930-2794 14:3<264 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer