Going ‘Beyond the Guidelines' to treat gallstone pancreatitis

Physicians from Beth Israel Deaconess Medical Center in Boston discuss the care of a patient with recurrent acute pancreatitis who decides to delay cholecystectomy until after hospital discharge.


In patients with acute biliary pancreatitis, a 2018 American Gastroenterological Association guideline recommends cholecystectomy during the initial admission, rather than after discharge. In the Beyond the Guidelines section of the Feb. 5 Annals of Internal Medicine, physicians from Beth Israel Deaconess Medical Center in Boston discuss their approach to treatment in the context of a patient with recurrent acute pancreatitis who chooses to delay surgery until after hospital discharge.