Enhanced recovery in the management of mild gallstone pancreatitis: a prospective cohort study.
OBJECTIVE
The aim of this study was to establish enhanced recovery protocols for the management of mild gallstone pancreatitis.


METHODS
Sixty consecutive patients were divided into enhanced recovery and traditional recovery (TR) groups in a randomized observational study. The basic enhanced recovery elements included early laparoscopic cholecystectomy, restrictive endoscopic intervention, and early oral nutrition. The incidence of complications, readmission, length of stay, and total medical cost were analyzed during the hospital course.


RESULTS
The length of hospital stay and medical cost were significantly lower in the enhanced recovery group in comparison to the TR group: 5.9 days vs. 10.6 days (P < 0.01) and ¥10,023 vs. ¥15,035 (P < 0.01). The complications and readmission rates in the two groups were similar.


CONCLUSIONS
The implementation of enhanced recovery protocols is feasible in the management of mild gallstone pancreatitis. The utilization of these protocols can achieve shorter hospital stays and reduced costs, with no increase in either the re-admission or peri-operative complication rates.
Department of Hepatobiliary and Pancreatospleenic Surgery, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing 100020, China.
Xin
X
Zhao
Da-Zhi
DZ
Chen
Ren
R
Lang
Zhong-Kui
ZK
Jin
Hua
H
Fan
Tian-Ming
TM
Wu
Xian-Liang
XL
Li
Qiang
Q
He
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic; D015331:Cohort Studies; D003365:Costs and Cost Analysis; D005260:Female; D042882:Gallstones / Q000150:complications / Q000191:economics* / Q000628:therapy*; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006801:Humans; D007902:Length of Stay / Q000191:economics* / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000191:economics* / Q000209:etiology / Q000628:therapy*; D010288:Parenteral Nutrition; D010359:Patient Readmission / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D012720:Severity of Illness Index; D016896:Treatment Outcome