Document Detail


Biliary disease during pregnancy.
MedLine Citation:
PMID:  7977999     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Biliary disease during pregnancy is rare and the need for surgery in these cases is controversial. We evaluated our experience with biliary disease during pregnancy with regard to outcome and cost containment. PATIENTS AND METHODS: We reviewed the clinical course of pregnant women with biliary disease at the University of California at Los Angeles and Olive View-UCLA Medical Centers from 1988 to 1993. RESULTS: Seventy-two of 46,075 pregnant women presented with biliary disease (incidence 0.16%). Sixteen underwent surgery while pregnant, 5 in the first and 11 in the second trimester. No maternal or fetal deaths occurred secondary to medical or surgical management of biliary disease. Patients who were treated medically at initial presentation had a 69% rate of relapse prior to delivery, compared to no relapses in those treated surgically (P < 0.01). Patients who experienced relapse spent an average of 3.0 additional days in hospital. CONCLUSION: Surgical therapy for biliary disease performed in the second trimester of pregnancy does not increase morbidity and may help reduce relapses and additional days in hospital.
Authors:
S G Swisher; P J Schmit; K K Hunt; D T Hiyama; R S Bennion; E M Swisher; J E Thompson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  168     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  1994 Dec 
Date Detail:
Created Date:  1994-12-23     Completed Date:  1994-12-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  576-9; discussion 580-1     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, University of California School of Medicine, Los Angeles.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adult
Biliary Tract Diseases / surgery*
Cholecystitis / surgery*
Cholelithiasis / complications
Colic / surgery*
Female
Humans
Pancreatitis / etiology,  surgery*
Pregnancy
Pregnancy Complications / surgery*
Pregnancy Outcome
Recurrence
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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