LIVER FUNCTION IN CHOLECYSTECTOMIZED PATIENTS WITH ACUTE BILIARY PANCREATITIS.

The aim of the study was to compare the dynamics of serum levels of tranaminases (ALT and AST) as well as the levels of alkaline phosphate and gammaglutamylotranspeptydase in the course of the disease in two groups of patients with a mild form of acute biliary pancreatitis (ABP). The first group included 54 patients with "rescued" gall bladders (group -- Ch), and the second one was composed of 15 patients who had previously undergone a cholecystectomy (post cholecystectomy group -- P). Both groups underwent the same model of treatment with ERCP followed by an endoscopic sphincterotomy on the first day of hospitalization. We are aware that the question of the indication for these procedures, in patients with mild forms of acute biliary pancreatitis, is still debatable. The level of measured parameters were insignificantly different. In these enzymes the same dynamics regarding time (decrease in time) were noticed in both groups. There were no differences in the duration of hospitalization between the groups. We discovered that the level of alkaline phosphate could be a factor influencing the risk of once patients are discharged from hospital (Cox's regression model). We believe that an early endoscopic sphincterotomy should be performed on every patient who has previously undergone a cholecystectomy. [ABSTRACT FROM AUTHOR]