Reassessing cholecystectomy timing in gallstone-related acute cholangitis

doi:10.4253/wjge.v17.i5.106473

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May 16, 2025 (publication date) through May 12, 2025

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World Journal of Gastrointestinal Endoscopy

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1948-5190

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Letter to the Editor

World J Gastrointest Endosc. May 16, 2025; 17(5): 106473
Published online May 16, 2025. doi: 10.4253/wjge.v17.i5.106473

Reassessing cholecystectomy timing in gallstone-related acute cholangitis

Daniel Paramythiotis, Dimitrios Tsavdaris, Eleni Karlafti

Daniel Paramythiotis, Dimitrios Tsavdaris, 1^st Propaedeutic Surgery Department, University General Hospital of Thessaloniki AHEPA, Aristotle University of Thessaloniki, Thessaloniki 54636, Greece

Eleni Karlafti, Department of Emergency, University General Hospital of Thessaloniki AHEPA, Aristotle University of Thessaloniki, Thessaloniki 54636, Greece

Author contributions: Paramythiotis D designed research; Tsavdaris D and Karlafti E performed research, analyzed data; Paramythiotis D wrote the letter; Tsavdaris D and Karlafti E revised the letter.

Conflict-of-interest statement: All authors report no relevant conflicts of interest for this article.

Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Daniel Paramythiotis, MD, Full Professor, 1^st Propaedeutic Surgery Department, University General Hospital of Thessaloniki AHEPA, Aristotle University of Thessaloniki, St. Kyriakidi 1, Thessaloniki 54636, Greece. danosprx@auth.gr

Received: February 28, 2025
Revised: April 4, 2025
Accepted: April 22, 2025
Published online: May 16, 2025
Processing time: 73 Days and 10.6 Hours

Core Tip

Core Tip: Performing cholecystectomy during the same hospitalization for gallstone-related acute cholangitis significantly reduces 30-day readmission and mortality rates. Despite these benefits, the procedure is underutilized, highlighting the need for updated guidelines and further research to standardize early surgical intervention in appropriate patients.