| Endoscopic sphincterotomy for the treatment of gallstone pancreatitis during pregnancy. | |
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MedLine Citation:
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PMID: 9569356 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Gallstones are the most common cause of acute pancreatitis during pregnancy. Without intervention, gallstone pancreatitis during pregnancy is associated with an antepartum recurrence rate of 70%, which exposes the mother and fetus to an increased risk of morbidity and mortality. A safe, effective means to prevent recurrent gallstone pancreatitis during pregnancy is desirable. METHODS: Since 1991, we have managed gallstone pancreatitis in three pregnant patients with endoscopic retrograde cholangiogram (ERC), followed by spincterotomy, despite the absence of common bile duct stones. RESULTS: All patients were judged to have mild pancreatitis by modified Ranson criteria and the Multiorgan System Failure criteria. During cholangiogram, fetal shielding was employed and fluoroscopy times ranged from 36 s to 7.2 min. One patient experienced postprocedure pancreatitis of 48-h duration. None of the patients experienced further episodes of pancreatitis and none underwent predelivery cholecystectomy. CONCLUSIONS: In pregnancy-associated gallstone pancreatitis, endoscopic sphincterotomy prevents recurrence of pancreatitis and the need for cholecystectomy during gestation. We believe endoscopic sphincterotomy represents a promising management alternative for gallstone pancreatitis during pregnancy. Further investigation is warranted. |
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Authors:
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J S Barthel; T Chowdhury; B W Miedema |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Surgical endoscopy Volume: 12 ISSN: 0930-2794 ISO Abbreviation: Surg Endosc Publication Date: 1998 May |
Date Detail:
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Created Date: 1998-05-21 Completed Date: 1998-05-21 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8806653 Medline TA: Surg Endosc Country: GERMANY |
Other Details:
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Languages: eng Pagination: 394-9 Citation Subset: IM |
Affiliation:
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Division of Gastroenterology, Department of Medicine, MA-421, University of Missouri School of Medicine, Columbia, MO 65212, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Cholangiopancreatography, Endoscopic Retrograde Cholelithiasis / complications, radiography, surgery* Female Humans Pancreatitis / etiology, radiography, surgery* Pregnancy Pregnancy Complications / surgery* Sphincterotomy, Endoscopic* |
| Comments/Corrections | |
Comment In:
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Surg Endosc. 1998 May;12(5):387-9
[PMID:
9569354
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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