Hepatobiliary Diseases in Women

Borum, Marie L.

doi:10.1016/s0025-7125(05)70594-0

Cited by 24 publications

(8 citation statements)

References 107 publications

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“…Complications associated with choledocholithiasis are relatively uncommon during pregnancy [99,100]. However, these complications can result in significant morbidity and mortality, making appropriate management important.…”

Section: Choledocholithiasismentioning

confidence: 99%

Diagnosis and laparoscopic treatment of surgical diseases during pregnancy: an evidence-based review

et al. 2008

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Treatment of surgical disease in the gravid patient requires a unique and careful approach where safety of the mother and fetus are both considered. Approaches to diagnosis and therapy of surgical disease in the gravid patient are increasingly clarified and defined in the literature. Laparoscopy, once described as contraindicated in pregnancy, has been steadily accepted and applied as data supporting its safety and use have accumulated. An extensive review of the literature was performed to define the use of laparoscopy in pregnancy. Diagnoses for independent surgical diseases as well as imaging modalities and techniques during pregnancy are reviewed. Preoperative, intraoperative, and postoperative management of the pregnant patient are described and evaluated with focus on use of laparoscopy. Literature supporting safety and efficacy of laparoscopy in cholecystectomy, appendectomy, solid organ resection, and oophorectomy in the gravid patient is outlined. Based on level of evidence, this review includes recommendations specific to surgical approach, trimester of pregnancy, patient positioning, port placement, insufflation pressure, monitoring, venous thromboembolic prophylaxis, obstetric consultation, and use of tocolytics in the pregnant patient.

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Section: Choledocholithiasismentioning

confidence: 99%

Diagnosis and laparoscopic treatment of surgical diseases during pregnancy: an evidence-based review

et al. 2008

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“…Complications associated with choledocholithiasis are relatively uncommon during pregnancy [102,103]. However, these complications can result in significant morbidity and mortality making appropriate management of these patients important.…”

Section: Choledocholithiasismentioning

confidence: 99%

Guidelines for diagnosis, treatment, and use of laparoscopy for surgical problems during pregnancy

Surgeons¹,

Hori

2008

Surg Endosc

144

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“…Given the possibility of distinct liver characteristics between genders of the same species and the close relationship between the metabolism of sex steroids and liver function, body mass should be considered when studying cholestatic jaundice 1,4,11 . Diseases such as primary biliary cirrhosis, cholelithiasis and autoimmune hepatic diseases occur more in women, alcoholic cirrhosis being more common in men 12,13 . Furthermore, the impact of alcoholism in women results in higher hepatic damage and increases even further the possibility of developing cirrhosis 1 .…”

Section: Introduction Introduction Introduction Introductionmentioning

confidence: 99%

“…Similarly, previous studies from the same research line of this work have reported delayed emptying of the gallbladder in perimenopausal women 14,15 . In this sense, the interaction of sex hormones seems to influence the hepatobiliary functions [12][13][14][15] . The relationship between sex steroids and weight variation has been postulated by several authors [16][17][18][19][20][21] .…”

Section: Introduction Introduction Introduction Introductionmentioning

confidence: 99%

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Influência da icterícia colestática na variação ponderal em modelo experimental

Vasconcellos¹,

Alberti²,

Romeiro³

et al. 2012

Rev. Col. Bras. Cir.

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OBJETIVO: Avaliar a influência da icterícia colestática na variação ponderal. MÉTODOS: Foram utilizados 64 ratos adultos, distribuídos em seis grupos: F1 (n=6) - fêmeas normais, F2 (n=6) - fêmeas laparotomizadas, F3 (n=20) - fêmeas ictéricas, M1 (n=6) - machos normais, M2 (n=6) - machos laparotomizados, M3 (n=20) - machos ictéricos. A icterícia foi obtida com ligadura e secção do ducto biliopancreático. Os pesos dos animais foram registrados semanalmente, durante sete semanas. No 14º dia de experimento, dosaram-se as bilirrubinas séricas e os hormônios gonadais. Após a sétima semana, realizou-se estudo histológico do fígado. RESULTADOS: Os animais dos grupos F3 e M3 apresentaram bilirrubinas elevadas e diminuição da massa corpórea, quando comparados com os demais grupos. As diferenças ponderais foram significativas a partir da quarta semana entre as fêmeas e da quinta semana entre os machos. Nos animais ictéricos houve aumento do estradiol e diminuição da progesterona e da testosterona total. Septos de fibroses perivenular e periportal, colangite e hiperplasia de ductos biliares ocorreram no fígado dos animais ictéricos. Nenhum animal apresentou cirrose. CONCLUSÃO: Ocorreu redução do peso corpóreo murino em presença de icterícia colestática em ambos os sexos.

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Hepatobiliary Diseases in Women

Cited by 24 publications

References 107 publications

Diagnosis and laparoscopic treatment of surgical diseases during pregnancy: an evidence-based review

Diagnosis and laparoscopic treatment of surgical diseases during pregnancy: an evidence-based review

Guidelines for diagnosis, treatment, and use of laparoscopy for surgical problems during pregnancy

Influência da icterícia colestática na variação ponderal em modelo experimental

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