Thursday, October 21st
1.104 Ewing Hall
Timing of Cholecystectomy for Complicated Gallstone Disease:
Translation of Population-Based Data Into Clinical Practice
Taylor S. Riall, MD, PhD
John Sealy Distinguished Chair in Clinical Research
Department of Surgery, UTMB
Abstract: Gallstone disease is the most costly digestive disease in the U.S. with over one million hospitalizations, 700,000 operations, and $5 billion in cost annually. This presentation reviews the history of the treatment of complicated gallstone disease including acute cholecystitis, gallstone pancreatitis, and common bile duct stones. Several cases are presented to demonstrate a problem in the care of patients with complicated gallstone disease. The current literature on timing of cholecystectomy for complicated gallstone disease will be reviewed and we will present population-based research that guided the development of a critical pathway for the care of patients with complicated gallstone disease at UTMB. Finally, we discuss the implementation of this pathway at UTMB, which improved the care of patients with complicated gallstone disease by decreasing length of stay, readmission rates for gallstone-related problems, and overall cost.