Socioeconomic deprivation may influence access to definitive gallstone care after ERCP for choledocholithiasis. We evaluated the association between the Scottish Index of Multiple Deprivation (SIMD) and progression to cholecystectomy, and downstream healthcare utilisation, in a contemporary ERCP cohort.
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Charlotte Smith, Makthum Muwafikha Ismail, K. Khan· British Journal of Surgery· 0 citations
ERCP followed by delayed cholecystectomy is a common pathway for choledocholithiasis, but exposes patients to recurrent biliary events and repeat interventions while awaiting definitive surgery. Laparoscopic common bile duct exploration (LCBDE) provides definitive single-stage management, but is variably adopted....
Charlotte Smith, Makthum Muwafikha Ismail, K. Khan· British Journal of Surgery· 0 citations
Definitive cholecystectomy after ERCP was infrequent and delayed, with a steep operative-risk gradient, and most downstream admissions, bed use, and repeat ERCP concentrated in patients without definitive management.
Makthum Muwafikha Ismail, Charlotte Smith, S. Campbell et al.· British Journal of Surgery· 0 citations
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