Evidence map›Paper›PMID 41158718›Full record

ArticleCureus2025

Evaluating the Timing of Cholecystectomy in Gallstone-Induced Pancreatitis: Adherence to Guidelines and Impact on Patient Outcomes.

Mohab Elsalahi, Rothana Mohammed, Waleed Alsanie, Fayrouz El Shawadfy, Mohamed Sabry, Beshr Mosa Basha, Mazin Karem, Shahla Shamshad, Moatasem Alaa Tawfik Askar, Youssef Mohamed Abdalla Hassan and 8 more

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

18 authors.

Mohab ElsalahiGeneral Surgery, NHS Lanarkshire, Glasgow, GBR.
Rothana MohammedPediatrics, Peterborough City Hospital, Peterborough, GBR.
Waleed AlsanieSurgery, Dr. Hassan Ghazzawi Hospital, Jeddah, SAU.
Fayrouz El ShawadfySurgery, Badr Hospital, Cairo, EGY.
Mohamed SabrySurgery, Faculty of Medicine, Mansoura University, Mansoura, EGY.
Beshr Mosa BashaGeneral Surgery, Dr. Sulaiman Al Habib Hospital, Khobar, SAU.
Mazin KaremPsychiatry, North Devon District Hospital, Devon, GBR.
Shahla ShamshadEmergency Medicine and Critical Care, Dr. Hassan Ghazzawi Hospital, Jeddah, SAU.
Moatasem Alaa Tawfik AskarOrthopedics, El Bagour Specialized Hospital, Menoufia, EGY.
Youssef Mohamed Abdalla HassanObstetrics and Gynecology, Jaber Al Ahmad Al Sabah Hospital, Kuwait, KWT.
Haged MohamedIntensive Care Medicine, Al Tadamon Hospital, Port Said, EGY.
Alaa ElsayedInternal Medicine, Al Tadamon Hospital, Port Said, EGY.
Mostafa AfifiClinical Pathology, Faculty of Medicine, Al-Azhar University, Cairo, EGY.
Ahmad Adel Abdelhameed MuhammadEmergency Medicine and Critical Care, Dr. Hassan Ghazzawi Hospital, Jeddah, SAU.
Freya DodginsGeneral Surgery, North Devon District Hospital, Devon, GBR.
Amr M SolimanSurgery, Demerdash Ain Shams University Hospital, Cairo, EGY.
Mennat Allah OdaPediatric Surgery, Zagazig University Hospitals, Zagazig, EGY.
Abdulmabod OmarClinical Pathology, Faculty of Medicine, Al-Azhar University, Cairo, EGY.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background To avoid recurrence, patients with mild to moderate gallstone-induced pancreatitis should have a cholecystectomy as soon as possible. The aim of this study was to ascertain if adherence to surgical time recommendations influences patient outcomes, especially regarding readmission rates. Methodology We performed a retrospective study of patients admitted between September 2024 and July 2025 with gallstone pancreatitis at Dr. Hassan Ghazzawi Hospital, Jeddah, Saudi Arabia. Comparing those treated before and after the implementation of guideline recommendations for early cholecystectomy. Demographic information, the number of admissions, and the timing of the operation were obtained from hospital records. Patients were divided into four categories: timely (index admission), moderately delayed (weeks), significantly delayed (months/years), and non-surgical. Continuous variables were summarized as means and standard deviations, whereas categorical variables were displayed as frequencies and percentages. The groups have been compared using Fisher's exact test as well as the Chi-square test. A p-value of <0.05 has been considered statistically significant. Result The study covered 47 surgical patients and 47 non-surgical patients. Following guideline adoption, the proportion of timely cholecystectomies increased (32% vs. 53%), while significantly delayed procedures dropped (39% vs. 7%), although this trend did not achieve statistical significance (p = 0.075). The rate of multiple admissions was not statistically different (19% vs. 13%, p = 1.0). In the non-surgical sample, the mean number of admissions reduced (1.57 to 1.41) while recurring admissions (>1) fell (40% to 29%). The mean patient age was similar between groups (57 and 58 years). Conclusion Guideline adherence improved surgical timing and decreased recurrence of gallstone pancreatitis. Early cholecystectomy, preferably during the initial admission, should be the standard of care. Non-surgical patients remain at increased risk of readmission and require regular monitoring.

Indexed as

cholecystectomyclinical auditgallstone pancreatitisguideline adherenceretrospective studysurgical timing

Identifiers

PMID41158718
PMCPMC12557053

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.