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Minimally Invasive Management of Acute Biliary Tract Disease during Pregnancy
Joint Authors
Canullán, Carlos Manuel
Chiappetta Porras, Luis Tomás
Oría, Alejandro Salvador
Alvarez Rodríguez, Juan
Roff, Hernán Eduardo
Quesada, Bernabé Matías
Nápoli, Eduardo Daniel
Source
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-07-12
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Background.
Acute biliary diseases during pregnancy have been classically managed conservatively.
Advances in minimally invasive surgery and the high recurrence rate of symptoms observed changed this management.
Methods.
This is a prospective observational study.
Initial management was medical.
Unresponsive patients were treated with minimally invasive techniques including gallbladder percutaneous aspiration or cholecystostomy, endoscopic retrograde cholangiography, and laparoscopic cholecystectomy, depending on the pregnancy trimester and underlying diagnosis.
Results.
122 patients were admitted.
69 (56.5%) were unresponsive to medical treatment.
Recurrent gallbladder colic was the most frequent indication for minimally invasive intervention, followed by acute cholecystitis, choledocholithiasis, and acute biliary pancreatitis.
8 patients were treated during the first trimester, 54 during the second, and 7 during the last trimester.
There was no fetal morbidity or mortality.
Maternal morbidity was minor with no mortality.
Conclusion.
Acute biliary tract diseases during pregnancy may be safely treated with minimally invasive procedures according to the underlying diagnosis and to the trimester of pregnancy.
American Psychological Association (APA)
Chiappetta Porras, Luis Tomás& Nápoli, Eduardo Daniel& Canullán, Carlos Manuel& Quesada, Bernabé Matías& Roff, Hernán Eduardo& Alvarez Rodríguez, Juan…[et al.]. 2009. Minimally Invasive Management of Acute Biliary Tract Disease during Pregnancy. HPB Surgery،Vol. 2009, no. 2009, pp.1-3.
https://search.emarefa.net/detail/BIM-501451
Modern Language Association (MLA)
Chiappetta Porras, Luis Tomás…[et al.]. Minimally Invasive Management of Acute Biliary Tract Disease during Pregnancy. HPB Surgery No. 2009 (2009), pp.1-3.
https://search.emarefa.net/detail/BIM-501451
American Medical Association (AMA)
Chiappetta Porras, Luis Tomás& Nápoli, Eduardo Daniel& Canullán, Carlos Manuel& Quesada, Bernabé Matías& Roff, Hernán Eduardo& Alvarez Rodríguez, Juan…[et al.]. Minimally Invasive Management of Acute Biliary Tract Disease during Pregnancy. HPB Surgery. 2009. Vol. 2009, no. 2009, pp.1-3.
https://search.emarefa.net/detail/BIM-501451
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-501451