Managing Gallstone during Pregnancy

Transient physiological changes in the biliary system during pregnancy increased the risk of gallbladder diseases. Nonoperative management of symptomatic cholelithiasis increases the risk of complications of biliary lithiasis, such as cholecystitis and empyema, while obstruction common bile duct sto...

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Main Authors: Toar JM Lalisang, Fransisca J Siahaya
Format: Article
Language:English
Published: Indonesian Society of Obstetrics and Gynecology 2013-10-01
Series:Indonesian Journal of Obstetrics and Gynecology
Online Access:http://inajog.com/index.php/journal/article/view/370
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author Toar JM Lalisang
Fransisca J Siahaya
author_facet Toar JM Lalisang
Fransisca J Siahaya
author_sort Toar JM Lalisang
collection DOAJ
description Transient physiological changes in the biliary system during pregnancy increased the risk of gallbladder diseases. Nonoperative management of symptomatic cholelithiasis increases the risk of complications of biliary lithiasis, such as cholecystitis and empyema, while obstruction common bile duct stones with or without cholangitisb and biliary pancreatitis raise maternal mortality. Delay in definitive surgical treatment of biliary diseases during pregnancy increases the likelihood acute biliary pancreatitis which impact on preterm delivery until fetal lost. Laparoscopic cholesystectomy during pregnancy has advantages for the mother in that it speeds up her recovery, giving her less pain and facilitated natural birth without a cesarean section. On the fetus side, laparoscopic cholecystectomy is safe since it does not induce preterm delivery or abortion. Identification of gallbladder stone during pregnancy warrant a preventive laparoscopic cholesystectomy or endoscopic CBD exploration, both of which promise good outcomes. Keywords: adult choledochal cyst, biliary cyst, biliary dilatation, mixed type
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spelling doaj.art-7fe563dcfac041edb34f7eaa3a69a6562022-12-21T18:55:18ZengIndonesian Society of Obstetrics and GynecologyIndonesian Journal of Obstetrics and Gynecology2338-64012338-73352013-10-0121922210.32771/inajog.v1i4.370370Managing Gallstone during PregnancyToar JM Lalisang0Fransisca J Siahaya1Dr. Cipto Mangunkusumo HospitalJakartaDr. Cipto Mangunkusumo Hospital JakartaTransient physiological changes in the biliary system during pregnancy increased the risk of gallbladder diseases. Nonoperative management of symptomatic cholelithiasis increases the risk of complications of biliary lithiasis, such as cholecystitis and empyema, while obstruction common bile duct stones with or without cholangitisb and biliary pancreatitis raise maternal mortality. Delay in definitive surgical treatment of biliary diseases during pregnancy increases the likelihood acute biliary pancreatitis which impact on preterm delivery until fetal lost. Laparoscopic cholesystectomy during pregnancy has advantages for the mother in that it speeds up her recovery, giving her less pain and facilitated natural birth without a cesarean section. On the fetus side, laparoscopic cholecystectomy is safe since it does not induce preterm delivery or abortion. Identification of gallbladder stone during pregnancy warrant a preventive laparoscopic cholesystectomy or endoscopic CBD exploration, both of which promise good outcomes. Keywords: adult choledochal cyst, biliary cyst, biliary dilatation, mixed typehttp://inajog.com/index.php/journal/article/view/370
spellingShingle Toar JM Lalisang
Fransisca J Siahaya
Managing Gallstone during Pregnancy
Indonesian Journal of Obstetrics and Gynecology
title Managing Gallstone during Pregnancy
title_full Managing Gallstone during Pregnancy
title_fullStr Managing Gallstone during Pregnancy
title_full_unstemmed Managing Gallstone during Pregnancy
title_short Managing Gallstone during Pregnancy
title_sort managing gallstone during pregnancy
url http://inajog.com/index.php/journal/article/view/370
work_keys_str_mv AT toarjmlalisang managinggallstoneduringpregnancy
AT fransiscajsiahaya managinggallstoneduringpregnancy