<?xml version="1.0" encoding="UTF-8"?> <!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2d1 20170631//EN" "JATS-journalpublishing1.dtd"> <ArticleSet> <Article> <Journal> <PublisherName>ijcicr</PublisherName> <JournalTitle>International Journal of Clinical Investigation and Case Reports</JournalTitle> <PISSN>C</PISSN> <EISSN>l</EISSN> <Volume-Issue>Volume 1, Issue 2</Volume-Issue> <PartNumber/> <IssueTopic>Multidisciplinary</IssueTopic> <IssueLanguage>English</IssueLanguage> <Season>(Aug-Oct)</Season> <SpecialIssue>N</SpecialIssue> <SupplementaryIssue>N</SupplementaryIssue> <IssueOA>Y</IssueOA> <PubDate> <Year>2022</Year> <Month>08</Month> <Day>23</Day> </PubDate> <ArticleType>Endocrinology</ArticleType> <ArticleTitle>Impact of COVID-19 Restrictions on Outcomes of Patients with Cholelithiasis during the Pandemic</ArticleTitle> <SubTitle/> <ArticleLanguage>English</ArticleLanguage> <ArticleOA>Y</ArticleOA> <FirstPage>39</FirstPage> <LastPage>44</LastPage> <AuthorList> <Author> <FirstName>Constanza S.</FirstName> <LastName>Pereyra</LastName> <AuthorLanguage>English</AuthorLanguage> <Affiliation/> <CorrespondingAuthor>N</CorrespondingAuthor> <ORCID/> <FirstName>Franco J.</FirstName> <LastName>Ortiz</LastName> <AuthorLanguage>English</AuthorLanguage> <Affiliation/> <CorrespondingAuthor>Y</CorrespondingAuthor> <ORCID/> <FirstName>Manque F.</FirstName> <LastName>Mozetic</LastName> <AuthorLanguage>English</AuthorLanguage> <Affiliation/> <CorrespondingAuthor>Y</CorrespondingAuthor> <ORCID/> <FirstName>Cecilia L.</FirstName> <LastName>Sforza</LastName> <AuthorLanguage>English</AuthorLanguage> <Affiliation/> <CorrespondingAuthor>Y</CorrespondingAuthor> <ORCID/> <FirstName>Daniel</FirstName> <LastName>E.Tripoloni</LastName> <AuthorLanguage>English</AuthorLanguage> <Affiliation/> <CorrespondingAuthor>Y</CorrespondingAuthor> <ORCID/> <FirstName>Marcelo J.</FirstName> <LastName>Fasano</LastName> <AuthorLanguage>English</AuthorLanguage> <Affiliation/> <CorrespondingAuthor>Y</CorrespondingAuthor> <ORCID/> <FirstName>Marina A.</FirstName> <LastName>Antelo</LastName> <AuthorLanguage>English</AuthorLanguage> <Affiliation/> <CorrespondingAuthor>Y</CorrespondingAuthor> <ORCID/> <FirstName>Alberto R. Ferreres*</FirstName> <LastName>(ARGENTINA)</LastName> <AuthorLanguage>English</AuthorLanguage> <Affiliation/> <CorrespondingAuthor>Y</CorrespondingAuthor> <ORCID/> </Author> </AuthorList> <DOI>10.55828/ijcicr-12-08</DOI> <Abstract>Introduction: The COVID-19 pandemic restrictions forced the postponement of most elective surgeries for pathologies that did not represent an imminent risk to life. This delay caused significantly higher Re-admission and complication rates in patients with cholelithiasis during the pandemic, compared to those who presented before the pandemic (p-value=0.0001). Objective: To evaluate the impact of delayed surgical management of symptomatic gallstones, during the Covid-19 pandemic, on the complication and re-admission rates. Design type: a descriptive retrospective. Method: A cohort of patients hospitalized with pancreatobiliary pathology during the pandemic was compared to a control group who presented before the pandemic. Two groups were compared for the incidence of gallstone complications and re-admission rates. Primary or secondary neoplastic pathologies associated with gallstones were excluded. Results: During the pre-pandemic period, between March 2019 and March 2020, a total of 408 patients with pancreatobiliary pathology were hospitalized. Out of 408 patients, 204 (50%) were admitted with acute biliary cholecystitis, 132 patients with acute pancreatitis (32.4%), and 72 patients with extrahepatic cholestasis (17.6%). 324 (79%) patients underwent surgery and 36 (8.82%) patients out of the remaining 84 (20.6%) patients were readmitted. The average hospital stay for patients with surgery was 4 days ---PlusMinusSymbol--- 1.6 days, while for those with non-surgical treatment was 7 days ---PlusMinusSymbol--- 1.4 days. From March 2020 to March 2021, a total number of 536 patients were hospitalized, including 252 (47%) with acute biliary cholecystitis, 144 (26.9%) with acute pancreatitis, and 128 (23.9%) with extrahepatic cholestasis and 12 with acute cholangitis (2.2%). 308 (57.5%) patients underwent surgery and 104 (19.4%) patients of the remaining 228 (42.5%) patients were readmitted. The average hospital stay for patients with surgery was 3 days ---PlusMinusSymbol--- 1.3 days, while for those with non-surgical treatment was 7 days ---PlusMinusSymbol--- 1.5 days. Conclusions: The comparison of both groups showed a higher incidence of gallstone complications during the pandemic, associated with the preference of medical over surgical management. The higher incidence of complications were seen and associated with a decrease in the number of scheduled laparoscopic cholecystectomies.</Abstract> <AbstractLanguage>English</AbstractLanguage> <Keywords>COVID-19,Gallstones,Evolutionary Complications,Difficult Laparoscopic Cholecystectomy,Cholelithiasis</Keywords> <URLs> <Abstract>https://ijcicr.com/ubijournal-v1copy/journals/abstract.php?article_id=14061&title=Impact of COVID-19 Restrictions on Outcomes of Patients with Cholelithiasis during the Pandemic</Abstract> </URLs> <References> <ReferencesarticleTitle>References</ReferencesarticleTitle> <ReferencesfirstPage>16</ReferencesfirstPage> <ReferenceslastPage>19</ReferenceslastPage> <References>Campanile FC, Podda M, Arezzo A, et al. Acute cholecystitis during COVID-19 pandemic: A multi society position statement. World J Emerg Surg. 2020;15(1):38. Martand;iacute;nez Caballero J, Gonzand;aacute;lez Gonzand;aacute;lez L, Rodrand;iacute;guez Cuand;eacute;llar E, et al. 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