Gallbladder stones during pregnancy: are we doing the right thing in Mexico?

Cirugia y cirujanos Pub Date : 2023-01-01 DOI:10.24875/CIRU.22000633

Gerardo Chávez-Saavedra, Elia Lara-Lona, Daniel Díaz-Martínez, Laura Villaseñor-López-Velarde, Angélica Espinosa-Hinojosa, Manuel Rivera-Sahagún

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Abstract

Objective: To present the treatment of choice and approach in pregnant and postpartum women with a diagnosis of gallstones in Mexico and to compare it with the recommendations of international guidelines.

Method: Observational, descriptive, and retrospective study based on information from the 2019 Dynamic Cubes database of pregnant women diagnosed with cholecystitis and/or cholelithiasis who had undergone cholecystectomy.

Results: During 2019, 937 patients with cholelithiasis and cholecystitis were registered, 516 (55%) pregnant and 421 (45%) in puerperium. 91.47% of cases were managed with medical treatment and 8.53% with cholecystectomy, with predominance in the open approach in 63.75% of cases. Mortality was nil in both groups.

Conclusions: Despite current international guidelines recommending early laparoscopic cholecystectomy in pregnant or puerperal women, in Mexico medical treatment, delayed cholecystectomy and its open approach are still privileged.

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孕期胆囊结石：墨西哥的做法对吗？

目的介绍墨西哥诊断出胆结石的孕妇和产后妇女的治疗选择和方法，并将其与国际指南的建议进行比较：观察性、描述性和回顾性研究，以2019年动态立方体数据库中被诊断为胆囊炎和/或胆石症并接受胆囊切除术的孕妇信息为基础：2019年期间，共登记了937名胆石症和胆囊炎患者，其中516人（55%）为孕妇，421人（45%）为产褥期患者。91.47%的病例采用药物治疗，8.53%的病例采用胆囊切除术，其中63.75%的病例以开腹手术为主。两组病例的死亡率均为零：结论：尽管目前的国际指南建议孕妇或产褥期妇女尽早进行腹腔镜胆囊切除术，但在墨西哥，药物治疗、延迟胆囊切除术及其开放式方法仍是首选。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cirugia y cirujanos

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