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Pregnant Women Should Delay Gallbladder Surgery, Study Finds

In a new study, researchers found that women who had their gallbladder removed during pregnancy were more likely to have a longer hospital stay and be readmitted within a month. These women were also more likely to have a preterm delivery compared with women who postponed the surgery until after childbirth.

"In light of these findings, whenever possible, women with symptomatic gallstones in pregnancy should wait as long as possible to let the baby mature before having the [gallbladder removal surgery]," said study co-author Dr. Henry Pitt. He is a professor of surgery at Temple University School of Medicine in Philadelphia.

Using a California database, Pitt's team collected data on 403 pregnant women who had the operation in the 90 days before childbirth, and nearly 17,500 women who had the procedure in the three months after childbirth, between 2005 and 2014.

After a minimally invasive gallbladder surgery, most patients can go home the same day. When pregnant women had the procedure, however, 85 percent needed to be hospitalized. And 13 percent of pregnant women needed to have an open operation, compared with 2 percent of women who were not pregnant, the findings showed.

Complications of pregnancy -- such as eclampsia (seizures), bleeding and preterm delivery -- were much worse for women who had gallbladder surgery during pregnancy, Pitt said in a news release from the American College of Surgeons.

Women who had the operation during the third trimester were twice as likely to deliver a preterm infant, the researchers said.

"The real significant finding is that babies were being born preterm when they weren't adequately developed. And we know that preterm delivery is associated with neonatal mortality and multiple adverse outcomes for the baby," Pitt said. "So that is the real reason to wait: to make sure the outcome for the baby is the best possible outcome."

Women who had the gallbladder surgery in the third trimester often stayed in the hospital longer (three days versus one day), incurred more costs (nearly $20,000 versus $17,500), and had higher 30-day readmission rates (10 percent versus 4 percent) than women who waited for their operation until after they gave birth, the study authors said.

The report was published online recently in the Journal of the American College of Surgeons.

Right now, guidelines from the Society of American Gastrointestinal and Endoscopic Surgeons recommend the procedure for all pregnant women with symptomatic gallstones and suggest that the procedure is safe for both the mother and baby, according to the news release.

Pitt thinks that these findings call for a change in the guidelines.

The study did find, however, that 98 percent of the time, the procedure was being done after delivery, Pitt noted.

"So, despite the recommendations in these guidelines, I think surgeons and obstetricians knew that the better approach for the patient was to wait as long as possible," he said.

More information

For more on gallbladder surgery, visit the Society of American Gastrointestinal and Endoscopic Surgeons.


Source: https://www.drugs.com/news/pregnant-women-should-delay-gallbladder-surgery-study-finds-80573.html?utm_source=ddc&utm_medium=rss&utm_campaign=Pregnant+Women+Should+Delay+Gallbladder+Surgery%2C+Study+Finds

Gallbladder removal operation during pregnancy associated




Pitt and colleagues studied a large database of women in California (the California Office of Statewide Health Planning and Development database) who underwent a laparoscopic or open cholecystectomy between 20 for gallstones or other benign biliary diseases. Image: Women who undergo this operation during pregnancy are twice as high-Fructose Corn Syrup: Just Like Sugar, or Worse? likely to deliver a preterm baby. The researchers found that women who underwent the operation during the third trimester were twice as likely to deliver a preterm baby and almost twice as likely to have abnormal maternal outcomes. . Sicklick, MD, facs, from University of California at San Diego; and Mark. Women who have their gallbladder removed during pregnancy are more likely to experience longer hospital stays, increased 30-day readmissions, and higher rates of preterm delivery than those who delay the operation until after childbirth, according to the study. Women who undergo this operation during pregnancy are twice as likely to deliver a preterm baby. About drugs simply

When the stones become problematic, causing painful attacks, a surgeon may recommend that the diseased gallbladder be taken out by performing an operation known as a cholecystectomy. "So despite the recommendations in these guidelines, I think surgeons and obstetricians knew that the better approach for the patient was to wait as long as possible.". Right now, guidelines from the Society of American 15 Tried-and-True Workout Routines for Every Fitness Goal Gastrointestinal and Endoscopic Surgeons recommend the procedure for all pregnant women with symptomatic gallstones and suggest that the procedure is safe for both the mother and baby, according to the news release. Pregnant women produce extra progesterone, which puts them at greater risk for gallstones. The American College of Surgeons is a scientific and educational organization of surgeons that was founded in 1913 to raise the standards of surgical practice and improve the quality of care for all surgical patients. Available at: about the American College of Surgeons.


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When faced with painful gallstones, 13 Retinoid and Retinol Myths Debunked for Healthier Skin pregnant women should consider postponing surgical treatment until after childbirth, new study results show. Pregnant women produce extra progesterone, which. In light of these findings, whenever possible, women with symptomatic gallstones in pregnancy should wait as long as possible to let the baby mature before having the cholecystectomy, said study. In light of these findings, whenever possible, women with symptomatic gallstones in pregnancy should wait as long as possible to let the baby mature before having the cholecystectomy, said study coauthor Henry. Pitt, MD, facs, professor of surgery at Temple University School of Medicine, Philadelphia. Pregnant women are at no greater risk of developing an infection or other complication after having their gallbladder or appendix removed, researchers report in a new study.

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Erekson told Reuters Health that the results are reassuring for pregnant women in need of surgery. The good news is there is not an increased risk to her. If she has appendicitis, it is a good idea to proceed with the surgery if her doctor advises it, Erekson said. Pregnant women should consider postponing surgical treatment when faced with painful gallstones until after childbirth, reports a new study. The findings of the study are published in the Journal. Removing gallbladder can cause preterm delivery: Study Women whose gallbladder has been removed during pregnancy are more likely to experience longer hospital stays than those who delay the.

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