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OALib Journal期刊
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-  2016 

Surgery for gallstone disease during pregnancy does not increase fetal or maternal mortality: a meta-analysis

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Abstract:

Gallstone-related disease (GRD) encompasses a wide spectrum of clinical entities ranging from biliary colic to acute gallstone pancreatitis. GRD is one of the most common general surgical emergencies during pregnancy (1-3) and complicates between 0.05-0.8% of pregnancies (4-6). The management of GRD during pregnancy remains a significant challenge to the general surgeon and obstetrician. GRD during pregnancy has been traditionally managed conservatively with surgery being reserved for patients in whom symptoms are persistent. This traditional dogma has been challenged by two observations. Firstly, fetal death rate is higher following conservative treatment than after laparoscopic cholecystectomy (7). Secondly conservative management of GRD has reported patient readmission rates and symptom recurrence rates of between 40-92% (7-9)

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