TITLE:
Acute Biliary Pancreatitis: Hospital Management at the François Quesnay Hospital Center of Mantes-la-Jolie
AUTHORS:
Bienvenu Hostaud Atipo-Ibara, Mauria Gilga Ibobi, Bénédicte Ahombo Notsiebé, Bovane Jhonsial Molami, Ghidmar Onguele-Okemba, Daniel Tchamdeu-Sizimboue, Rome Itoua-Gatsé, Mardochée Motoula-Latou, Auriol Ata, Rody Stephane Ngami, Jean-Bosco Ndala, Jean-Antoine Boundou, Jile Florient Mimiesse Monamou, Arnaud Mongo Onkouo, Clausina Mikolele Ahoui, Blaise Irénée Atipo Ibara
KEYWORDS:
Acute Biliary Pancreatitis, Nutrition, Cholecystectomy, Sphincterotomy, Mantes-la-Jolie
JOURNAL NAME:
Open Journal of Gastroenterology,
Vol.16 No.8,
August
18,
2026
ABSTRACT: Objective: To evaluate the management of acute biliary pancreatitis (ABP) at the François Quesnay Hospital Center (FQHC) of Mantes-la-Jolie. Patients and methods: This was an observational, analytical, cross-sectional study with retrospective data collection, conducted from January 2019 to September 2024 at the FQHC. All patients over 18 years of age hospitalized in the gastroenterology department for ABP were included. Severity was assessed using SIRS, CRP at 48 hours, the CT severity index (CTSI), and the Atlanta score at 96 hours. Outcomes were analyzed following nutritional, endoscopic, and surgical management (cholecystectomy). Results: Ninety-eight patients were included, corresponding to a hospital frequency of 3.18%. ABP was mild to moderately severe in 87.7% of cases and severe in 12.2%. Cholecystectomy was delayed in 62.2% of patients for organizational reasons. Endoscopic sphincterotomy was performed in 28.6% of patients, with biliary stent placement in 5 cases. Enteral nutrition was initiated in 69.2% of severe forms. Complications occurred in 15.3% of patients, 53.3% of whom had severe ABP; recurrences were more frequent in moderately severe forms. Moderately severe ABP and biliary stent placement were independently associated with the occurrence of a biliary event. Conclusion: ABP remains an emergency regardless of its degree of severity. Delays in implementing management guidelines may explain the non-negligible proportion of biliary events observed.