Gallsteinasjúkdómar hjá þunguðum konum á Landspítala 1990-2010

Kolbeinsson, Hordur M.; Harðardóttir, Hildur; Birgisson, Guðjón; Möller, Páll Helgi

doi:10.17992/lbl.2016.12.110

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…Pregnancy loss estimated 3 fewer events per 1000 patients (95% CI 6 fewer to 2 more) based on 7 observational studies with 6756 patients [ 62 , 64 , 65 , 71 , 73 – 75 ].…”

Section: Recommendationsmentioning

confidence: 99%

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SAGES guidelines for the use of laparoscopy during pregnancy

Kumar,

Collings,

Wunker

et al. 2024

Surg Endosc

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Background When pregnant patients present with nonobstetric pathology, the physicians caring for them may be uncertain about the optimal management strategy. The aim of this guideline is to develop evidence-based recommendations for pregnant patients presenting with common surgical pathologies including appendicitis, biliary disease, and inflammatory bowel disease (IBD). Methods The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Guidelines Committee convened a working group to address these issues. The group generated five key questions and completed a systematic review and meta-analysis of the literature. An expert panel then met to form evidence-based recommendations according to the Grading of Recommendations Assessment, Development, and Evaluation approach. Expert opinion was utilized when the available evidence was deemed insufficient. Results The expert panel agreed on ten recommendations addressing the management of appendicitis, biliary disease, and IBD during pregnancy. Conclusions Conditional recommendations were made in favor of appendectomy over nonoperative treatment of appendicitis, laparoscopic appendectomy over open appendectomy, and laparoscopic cholecystectomy over nonoperative treatment of biliary disease and acute cholecystitis specifically. Based on expert opinion, the panel also suggested either operative or nonoperative treatment of biliary diseases other than acute cholecystitis in the third trimester, endoscopic retrograde cholangiopancreatography rather than common bile duct exploration for symptomatic choledocholithiasis, applying the same criteria for emergent surgical intervention in pregnant and non-pregnant IBD patients, utilizing an open rather than minimally invasive approach for pregnant patients requiring emergent surgical treatment of IBD, and managing pregnant patients with active IBD flares in a multidisciplinary fashion at centers with IBD expertise. Graphical abstract

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“…Pregnancy loss estimated 3 fewer events per 1000 patients (95% CI 6 fewer to 2 more) based on 7 observational studies with 6756 patients [ 62 , 64 , 65 , 71 , 73 – 75 ].…”

Section: Recommendationsmentioning

confidence: 99%

“…Preterm birth estimated 58 more events per 1000 patients (95% CI 22 fewer to 207 more) based on 10 observational studies with 39,108 patients [ 62 , 63 , 65 , 67 , 69 – 71 , 73 – 75 ].…”

Section: Recommendationsmentioning

confidence: 99%

SAGES guidelines for the use of laparoscopy during pregnancy

Kumar,

Collings,

Wunker

et al. 2024

Surg Endosc

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Research Progress in the Prevention, Diagnosis and Treatment of Gallstones

赵

2023

ACM

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Gallbladder diseases in pregnancy: Sonographic findings in an indigenous African population

Idowu¹,

Onigbinde

Ebie³

et al. 2019

J Ultrason

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Aim of the study: This study aimed to evaluate the prevalence of gallbladder disease in gravid Nigerian women and to elucidate any association with gravidity and ABO blood group. Materials and Methods: This was a descriptive cross-sectional study of six hundred and fifty-six (656) pregnant women recruited from March 2015 to March 2016. Hemoglobin genotype and blood group were recorded and a sonographic examination was performed using Siemens ultrasound scanner. Statistical analysis was done using STATA software for Windows. Results: Age had a significant association with the occurrence of gallbladder diseases (Likelihood ratio = 7.116, P = 0.03). Two (0.3%) pregnant women had biliary sludge, 11 (1.7%) had gallstones while 643 (98%) had normal gallbladders. Also, only one (9.1%) primigravida woman with gallstone was found in this study while 10 (90.9%) of the women with gallstones were multigravida. All the pregnant women who had gallstone(s) had blood group O. Of the two women with biliary sludge; one had blood group A while the other had blood group O. Conclusions: The incidence of gallbladder disease increased with age in this study. There was a higher prevalence of gallstones than sludge in pregnancy. Also, the incidence of gallstones increased with the number of pregnancies among the women with gallstones. Attention should be paid to the gallbladder during abdominal sonography in pregnancy.

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Gallsteinasjúkdómar hjá þunguðum konum á Landspítala 1990-2010

Cited by 3 publications

References 19 publications

SAGES guidelines for the use of laparoscopy during pregnancy

SAGES guidelines for the use of laparoscopy during pregnancy

Research Progress in the Prevention, Diagnosis and Treatment of Gallstones

Gallbladder diseases in pregnancy: Sonographic findings in an indigenous African population

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