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The course and outcomes of complicated gallstone disease in pregnancy: Experience of a tertiary center
OBJECTIVE: To evaluate the course and outcomes of pregnant patients with complicated gallstone disease and to reveal the experience of a tertiary center. MATERIALS AND METHODS: The records of 92.567 patients were evaluated using searches for diagnoses with the terms of pregnant, pregnancy, gallstone...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Galenos Publishing
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5558289/ https://www.ncbi.nlm.nih.gov/pubmed/28913118 http://dx.doi.org/10.4274/tjod.65475 |
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author | İlhan, Mehmet İlhan, Gülşah Gök, Ali Fuat Kaan Günay, Kayıhan Ertekin, Cemalettin |
author_facet | İlhan, Mehmet İlhan, Gülşah Gök, Ali Fuat Kaan Günay, Kayıhan Ertekin, Cemalettin |
author_sort | İlhan, Mehmet |
collection | PubMed |
description | OBJECTIVE: To evaluate the course and outcomes of pregnant patients with complicated gallstone disease and to reveal the experience of a tertiary center. MATERIALS AND METHODS: The records of 92.567 patients were evaluated using searches for diagnoses with the terms of pregnant, pregnancy, gallstone, cholecystitis, cholangitis, choledocholithiasis, pancreatitis, and endoscopic retrograde cholangiopancreatography in pregnancy in the hospital database. Patients’ age, week of gestation, parity, body mass index, definitive diagnosis, attack episodes, treatment modalities, and obstetric and neonatal complications were evaluated. RESULTS: Overall, 59 women were diagnosed as having complicated gallstone disease in pregnancy. Acute cholecystitis was the most commonly diagnosed complicated gallbladder disease (62.7%). Cholecystectomy was performed in 15 women during gestation. Perinatal outcomes were as follows: one (1.7%) maternal death, 4 (6.8%) preterm deliveries, 5 (8.5%) low-birth-weight fetuses, and 1 (1.7%) missed abortion were encountered. No fetal abnormalities were encountered. CONCLUSION: A significant proportion of women experience biliary disease during pregnancy. Herein, we presented our clinical experience because the diagnosis, course, and management of complicated gallstone disease in pregnancy is complicated. |
format | Online Article Text |
id | pubmed-5558289 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Galenos Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-55582892017-09-14 The course and outcomes of complicated gallstone disease in pregnancy: Experience of a tertiary center İlhan, Mehmet İlhan, Gülşah Gök, Ali Fuat Kaan Günay, Kayıhan Ertekin, Cemalettin Turk J Obstet Gynecol Clinical Investigation OBJECTIVE: To evaluate the course and outcomes of pregnant patients with complicated gallstone disease and to reveal the experience of a tertiary center. MATERIALS AND METHODS: The records of 92.567 patients were evaluated using searches for diagnoses with the terms of pregnant, pregnancy, gallstone, cholecystitis, cholangitis, choledocholithiasis, pancreatitis, and endoscopic retrograde cholangiopancreatography in pregnancy in the hospital database. Patients’ age, week of gestation, parity, body mass index, definitive diagnosis, attack episodes, treatment modalities, and obstetric and neonatal complications were evaluated. RESULTS: Overall, 59 women were diagnosed as having complicated gallstone disease in pregnancy. Acute cholecystitis was the most commonly diagnosed complicated gallbladder disease (62.7%). Cholecystectomy was performed in 15 women during gestation. Perinatal outcomes were as follows: one (1.7%) maternal death, 4 (6.8%) preterm deliveries, 5 (8.5%) low-birth-weight fetuses, and 1 (1.7%) missed abortion were encountered. No fetal abnormalities were encountered. CONCLUSION: A significant proportion of women experience biliary disease during pregnancy. Herein, we presented our clinical experience because the diagnosis, course, and management of complicated gallstone disease in pregnancy is complicated. Galenos Publishing 2016-12 2016-12-15 /pmc/articles/PMC5558289/ /pubmed/28913118 http://dx.doi.org/10.4274/tjod.65475 Text en © Turkish Journal of Obstetrics and Gynecology published by Galenos Publishing House. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Investigation İlhan, Mehmet İlhan, Gülşah Gök, Ali Fuat Kaan Günay, Kayıhan Ertekin, Cemalettin The course and outcomes of complicated gallstone disease in pregnancy: Experience of a tertiary center |
title | The course and outcomes of complicated gallstone disease in pregnancy: Experience of a tertiary center |
title_full | The course and outcomes of complicated gallstone disease in pregnancy: Experience of a tertiary center |
title_fullStr | The course and outcomes of complicated gallstone disease in pregnancy: Experience of a tertiary center |
title_full_unstemmed | The course and outcomes of complicated gallstone disease in pregnancy: Experience of a tertiary center |
title_short | The course and outcomes of complicated gallstone disease in pregnancy: Experience of a tertiary center |
title_sort | course and outcomes of complicated gallstone disease in pregnancy: experience of a tertiary center |
topic | Clinical Investigation |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5558289/ https://www.ncbi.nlm.nih.gov/pubmed/28913118 http://dx.doi.org/10.4274/tjod.65475 |
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