Abstract | BACKGROUND: Symptomatic or complicated gallstone disease is the most common reason for nongynecological operations during pregnancy. Gallstones are present in 12% of all pregnancies, and more than one-third of patients fail medical treatment and therefore require surgical endoscopy or laparoscopy. Gallstone pancreatitis and jaundice during pregnancy is associated with a high recurrence rate, exposing both fetus and mother to an increased risk of morbidity and mortality. METHODS: During a 4-year period, all pregnant patients (n = 37) with symptomatic or complicated gallstone disease were studied prospectively at the Landeskrankenhaus in Salzburg, Austria. Five patients had an endoscopic retrograde cholangiopancreatogram (ERCP) for biliary pancreatitis or jaundice; two of these underwent subsequent laparoscopic cholecystectomy. Another seven patients required laparoscopic cholecystectomy for severe pain or cholecystitis; all were in their 13th-32nd gestational week. Access was established by Veress needle in all cases. Insufflation pressure was 8-10 mm Hg, and mean operative time was 62 min. RESULTS: All patients delivered full-term, healthy babies. There were no postendoscopic or postoperative complications. All patients enjoyed full relief from their symptoms; there were no recurrences of pancreatitis or jaundice. CONCLUSIONS:
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Authors | P Sungler, P M Heinerman, H Steiner, H W Waclawiczek, J Holzinger, F Mayer, A Heuberger, O Boeckl |
Journal | Surgical endoscopy
(Surg Endosc)
Vol. 14
Issue 3
Pg. 267-71
(Mar 2000)
ISSN: 1432-2218 [Electronic] Germany |
PMID | 10741447
(Publication Type: Comparative Study, Journal Article, Review)
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Topics |
- Cholangiopancreatography, Endoscopic Retrograde
- Cholecystectomy, Laparoscopic
- Cholelithiasis
(diagnostic imaging, surgery)
- Female
- Gestational Age
- Humans
- Infant, Newborn
- Pregnancy
- Pregnancy Complications
(diagnostic imaging, surgery)
- Pregnancy Outcome
- Prospective Studies
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