Diagnosis and treatment of pregnancy complicated with cholelithiasis

doi:10.3877/cma.j.issn.2095-3259.2024.03.004

Abstract

Abstract:

Gallstone disease is common in the general adult population, with a higher incidence in pregnancy than in non-pregnancies. Unlike uncomplicated cholelithiasis, the risk of adverse maternal and infant outcomes increases when complicated with acute cholecystitis, obstructive jaundice, cholangitis and pancreatitis. This review summarizes the progress of diagnosis and treatment of pregnancy cholelithiasis.

Key words: Pregnancy, Cholelithiasis, Diagnosis, Therapeutics

Rui Ma, Yingdong He. Diagnosis and treatment of pregnancy complicated with cholelithiasis[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2024, 13(03): 146-151.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhckjjdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-3259.2024.03.004

https://zhckjjdzzz.cma-cmc.com.cn/EN/Y2024/V13/I03/146

References 33

[1]	Kenington JC, Pellino G, Iqbal MR, et al. Guidelines on general surgical emergencies in pregnancy[J]. Br J Surg，2024，111(3)：1-17.
[2]	Ko CW, Beresford SA, Schulte SJ, et al. Incidence, natural history, and risk factors for biliary sludge and stones during pregnancy[J]. Hepatology，2005，41(2)：359-365.
[3]	Cheng V, Matsushima K, Sandhu K, et al. Surgical trends in the management of acute cholecystitis during pregnancy[J]. Surg Endosc，2021，35(10)：5752-5759.
[4]	Hong J, Yang J, Zhang X, et al. Considering delay of cholecystectomy in the third trimester of pregnancy[J]. Surg Endosc，2021，35(8)：4673-4680.
[5]	Hess E, Thumbadoo RP, Thorne E, et al. Gallstones in pregnancy[J]. Br J Hosp Med (Lond)，2021，82(2)：1-8.
[6]	RiosDiaz AJ, Oliver EA, Bevilacqua LA, et al. Is it safe to manage acute cholecystitis nonoperatively during pregnancy? A nationwide analysis of morbidity according to management strategy[J]. Ann Surg，2020，272(3)：449-456.
[7]	Azab M, Bharadwaj S, Jayaraj M, et al. Safety of endoscopic retrograde cholangiopancreatography (ERCP) in pregnancy: a systematic review and meta-analysis[J]. Saudi J Gastroenterol，2019，25(6)：341-354.
[8]	Lopez-Lopez V, Navaratne L, Ferreras D, et al. Laparoscopic bile duct exploration during pregnancy: a multi-center case series and literature review[J]. Langenbecks Arch Surg，2023，408(1)：45.
[9]	McDermott J, Kao LS, Keeley JA, et al. Management of gallstone pancreatitis: a review[J]. JAMA Surg，2024，159(7)：818-825.
[10]	Hughes DL, Hughes A, White PB, et al. Acute pancreatitis in pregnancy: meta-analysis of maternal and fetal outcomes[J]. Br J Surg，2021，109(1)：12-14.
[11]	Date RS, Kaushal M, Ramesh A. A review of the management of gallstone disease and its complications in pregnancy[J]. Am J Surg，2008，196(4)：599-608.
[12]	Larsson A, Palm M, Hansson LO, et al. Reference values for clinical chemistry tests during normal pregnancy[J]. BJOG，2008，115(7)：874-881.
[13]	Kurzweil SM, Shapiro MJ, Andrus CH, et al. Hyperbilirubinemia without common bile duct abnormalities and hyperamylasemia without pancreatitis in patients with gallbladder disease[J]. Arch Surg，1994，129(8)：829-833.
[14]	Ahmed M, Diggory R. The correlation between ultrasonography and histology in the search for gallstones[J]. Ann R Coll Surg Engl，2011，93(1)：81-83.
[15]	Schwulst SJ, Son M. Management of gallstone disease during pregnancy[J]. JAMA Surg，2020，155(12)：1162-1163.
[16]	Chen MM, Coakley FV, Kaimal A, et al. Guidelines for computed tomography and magnetic resonance imaging use during pregnancy and lactation[J]. Obstet Gynecol，2008，112(2 Pt 1)：333-340.
[17]	Tazuma S, Unno M, Igarashi Y, et al. Evidence-based clinical practice guidelines for cholelithiasis [J]. J Gastroenterol，2017，52(3)：276-300.
[18]	Gallaher JR, Charles A. Acute cholecystitis-a review[J]. JAMA，2022，327(10)：965-975.
[19]	Portincasa P, Di Ciaula A, Wang HH, et al. Medicinal treatments of cholesterol gallstones: old, current and new perspectives[J]. Curr Med Chem，2009，16(12)：1531-1542.
[20]	中华消化杂志编辑委员会，中华医学会消化病学分会肝胆疾病协作组. 中国慢性胆囊炎、胆囊结石内科诊疗共识意见(2018年)[J]. 中华消化杂志，2019，39(2)：73-79.
[21]	Steinbrook RA, Brooks DC, Datta S. Laparoscopic cholecystectomy during pregnancy. Review of anesthetic management, surgical considerations[J]. Surg Endosc，1996，10(5)：511-515.
[22]	Nasioudis D, Tsilimigras D, Economopoulos KP. Laparoscopic cholecystectomy during pregnancy: a systematic review of 590 patients[J]. Int J Surg，2016，27：165-175.
[23]	Kumar SS, Collings AT, Wunker C, et al. SAGES guidelines for the use of laparoscopy during pregnancy[J]. Surg Endosc，2024，38(6)：2947-2963.
[24]	Tan C, Ocampo O, Ong R, et al. Comparison of one stage laparoscopic cholecystectomy combined with intra-operative endoscopic sphincterotomy versus two-stage pre-operative endoscopic sphincterotomy followed by laparoscopic cholecystectomy for the management of pre-operatively diagnosed patients with common bile duct stones: a meta-analysis[J]. Surg Endosc，2018，32(2)：770-778.
[25]	Vettoretto N, Arezzo A, Famiglietti F, et al. Laparoscopic-endoscopic rendezvous versus preoperative endoscopic sphincterotomy in people undergoing laparoscopic cholecystectomy for stones in the gallbladder and bile duct[J]. Cochrane Database Syst Rev，2018，4(4)：CD010507.
[26]	Fine S, Beirne J, Delgi-Esposti S, et al. Continued evidence for safety of endoscopic retrograde cholangiopancreatography during pregnancy[J]. World J Gastrointest Endosc，2014，6(8)：352-358.
[27]	Graham G, Baxi L, Tharakan T. Laparoscopic cholecystectomy during pregnancy: a case series and review of the literature[J]. Obstet Gynecol Surv，1998，53(9)：566-574.
[28]	Glasgow RE, Visser BC, Harris HW, et al. Changing management of gallstone disease during pregnancy[J]. Surg Endosc，1998，12(3)：241-246.
[29]	Davis A, Katz VL, Cox R. Gallbladder disease in pregnancy[J]. J Reprod Med，1995，40(11)：759-762.
[30]	Kuy S, Roman SA, Desai R, et al. Outcomes following cholecystectomy in pregnant and nonpregnant women[J]. Surgery，2009，146(2)：358-366.
[31]	朱科俊，王志新. 妊娠期急腹症的紧急处理[J/CD]. 中华产科急救电子杂志，2016，5(1)：22-25.
[32]	Fong ZV, Pitt HA, Strasberg SM, et al. Cholecystectomy during the third trimester of pregnancy: proceed or delay？[J]. J Am Coll Surg，2019，228(4)：494-502.e1.
[33]	Sedaghat N, Cao AM, Eslick GD, et al. Laparoscopic versus open cholecystectomy in pregnancy: a systematic review and meta-analysis[J]. Surg Endosc，2017，31(2)：673-679.

Please choose a citation manager

Content to export