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Non-operative management of symptomatic cholelithiasis in pregnancy is associated with frequent hospitalizations.

Publication ,  Journal Article
Jorge, AM; Keswani, RN; Veerappan, A; Soper, NJ; Gawron, AJ
Published in: J Gastrointest Surg
April 2015

Symptomatic cholelithiasis (SC) is common in pregnancy. Guidelines recommend laparoscopic cholecystectomy (LC) for SC in pregnancy. Our aim was to evaluate current practice patterns and outcomes for patients undergoing initial non-operative management for uncomplicated SC during pregnancy. We performed a retrospective analysis and telephone survey of all patients presenting in a 42-month period to a tertiary care center for uncomplicated SC during pregnancy. Women with complicated gallstone disease, including cholecystitis, pancreatitis, choledocholithiasis, and cholangitis were excluded. We identified 53 patients with uncomplicated SC during pregnancy. LC was performed in 4 (7.5%) antepartum and in 28 (51.7%) postpartum. The majority of LCs (21, 75%) were performed within 3 months postpartum. Of those with postpartum LC, 22 (78.6%) had recurrent postpartum symptoms prior to LC, and 14 (50%) had repeat hospitalizations prior to undergoing surgery. Given the safety of antepartum LC and the frequency of recurrent symptoms and hospitalizations, early surgical intervention during pregnancy may be the optimal strategy to reduce antepartum and early postpartum admissions for uncomplicated SC.

Duke Scholars

Published In

J Gastrointest Surg

DOI

EISSN

1873-4626

Publication Date

April 2015

Volume

19

Issue

4

Start / End Page

598 / 603

Location

Netherlands

Related Subject Headings

  • Young Adult
  • Treatment Outcome
  • Surgery
  • Retrospective Studies
  • Pregnancy Complications
  • Pregnancy
  • Practice Patterns, Physicians'
  • Postpartum Period
  • Middle Aged
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
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Jorge, A. M., Keswani, R. N., Veerappan, A., Soper, N. J., & Gawron, A. J. (2015). Non-operative management of symptomatic cholelithiasis in pregnancy is associated with frequent hospitalizations. J Gastrointest Surg, 19(4), 598–603. https://doi.org/10.1007/s11605-015-2757-8
Jorge, April M., Rajesh N. Keswani, Anna Veerappan, Nathaniel J. Soper, and Andrew J. Gawron. “Non-operative management of symptomatic cholelithiasis in pregnancy is associated with frequent hospitalizations.J Gastrointest Surg 19, no. 4 (April 2015): 598–603. https://doi.org/10.1007/s11605-015-2757-8.
Jorge AM, Keswani RN, Veerappan A, Soper NJ, Gawron AJ. Non-operative management of symptomatic cholelithiasis in pregnancy is associated with frequent hospitalizations. J Gastrointest Surg. 2015 Apr;19(4):598–603.
Jorge, April M., et al. “Non-operative management of symptomatic cholelithiasis in pregnancy is associated with frequent hospitalizations.J Gastrointest Surg, vol. 19, no. 4, Apr. 2015, pp. 598–603. Pubmed, doi:10.1007/s11605-015-2757-8.
Jorge AM, Keswani RN, Veerappan A, Soper NJ, Gawron AJ. Non-operative management of symptomatic cholelithiasis in pregnancy is associated with frequent hospitalizations. J Gastrointest Surg. 2015 Apr;19(4):598–603.
Journal cover image

Published In

J Gastrointest Surg

DOI

EISSN

1873-4626

Publication Date

April 2015

Volume

19

Issue

4

Start / End Page

598 / 603

Location

Netherlands

Related Subject Headings

  • Young Adult
  • Treatment Outcome
  • Surgery
  • Retrospective Studies
  • Pregnancy Complications
  • Pregnancy
  • Practice Patterns, Physicians'
  • Postpartum Period
  • Middle Aged
  • Humans