Pregnant patients undergoing cholecystectomy: nationwide assessment of clinical characteristics and outcomes

Mazza, Genevieve R.; Youssefzadeh, Ariane C.; Aberle, Laurel S.; Anderson, Zachary S.; Mandelbaum, Rachel S.; Ouzounian, Joseph G.; Matsushima, Kazuhide; Matsuo, Koji

doi:10.1016/j.xagr.2024.100310

Cited by 1 publication

(1 citation statement)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patients in the near term can be managed conservatively in order to postpone surgery until after delivery, considering that in the third trimester, there are some concerns related to the size of the uterus [6,[68][69][70][71]. Despite the consensus on performing laparoscopic cholecystectomy preferentially during the second trimester, in selected cases, when justified by a favorable risk-benefit ratio, the surgical intervention can be performed in the first-or third trimester [72].…”

Section: Surgery (Cholecystectomy)mentioning

confidence: 99%

The Diagnosis and Treatment of Acute Cholecystitis: A Comprehensive Narrative Review for a Practical Approach

Mencarini,

Vestito,

Zagari

et al. 2024

JCM

View full text Add to dashboard Cite

Acute cholecystitis (AC), generally associated with the presence of gallstones, is a relatively frequent disease that can lead to serious complications. For these reasons, AC warrants prompt clinical diagnosis and management. There is general agreement in terms of considering early laparoscopic cholecystectomy (ELC) to be the best treatment for AC. The optimal timeframe to perform ELC is within 72 h from diagnosis, with a possible extension of up to 7–10 days from symptom onset. In the first hours or days after hospital admission, before an ELC procedure, the patient’s medical management comprises fasting, intravenous fluid infusion, antimicrobial therapy, and possible administration of analgesics. Additionally, concomitant conditions such as choledocholithiasis, cholangitis, biliary pancreatitis, or systemic complications must be recognized and adequately treated. The importance of ELC is related to the frequent recurrence of symptoms and complications of gallstone disease in the interval period between the onset of AC and surgical intervention. In patients who are not eligible for ELC, it is suggested to delay surgery at least 6 weeks after the clinical presentation. Critically ill patients, who are unfit for surgery, may require rescue treatments, such as percutaneous or endoscopic gallbladder drainage (GBD). A particular treatment approach should be applied to special populations such as pregnant women, cirrhotic, and elderly patients. In this review, we provide a practical diagnostic and therapeutic approach to AC, even in specific clinical situations, based on evidence from the literature.

show abstract