Management of acute cholecystitis during pregnancy: A single-center experience

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dc.authoridGok, Ali Fuat Kaan/0000-0002-3203-1253
dc.authoridSAHIN, TEVFIK TOLGA/0000-0002-9132-6115;
dc.authorwosidGok, Ali Fuat Kaan/T-7315-2018
dc.authorwosidSAHIN, TEVFIK TOLGA/AAA-9648-2021
dc.authorwosidBarut, Bora/ABD-9882-2020
dc.contributor.authorBarut, Bora
dc.contributor.authorGonultas, Fatih
dc.contributor.authorGok, Ali Fuat Kaan
dc.contributor.authorSahin, Tevfik Tolga
dc.date.accessioned2024-08-04T20:09:57Z
dc.date.available2024-08-04T20:09:57Z
dc.date.issued2019
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBACKGROUND: This study aimed to present to evaluate the results of two different approaches in the management of acute cholecystitis during pregnancy: immediate surgery and delayed surgery following conservative management. METHODS: In this study, 20 pregnant women who were treated in our clinic for acute cholecystitis between 2010 and 2018 were included in the analysis. Demographic characteristics, parameters related with acute cholecystitis (gallbladder wall thickness, laboratory data), duration of hospitalization, readmission rates, and preterm labor rate were retrospectively evaluated. RESULTS: The median age was 29.5 years. The median gestational week was 20 (6-32) weeks. Laparoscopic cholecystectomy was performed in 6 (30%) patients on admittance. When compared with the conservative management group, patients who received immediate surgery had higher gallbladder wall thickness. WBC count, and CRP, ALT, AST, ALP, and GGT levels (p<0.05). Furthermore, readmission rate and duration of hospitalization were lower in the patients who underwent immediate surgery (p<0.05). The preterm labor rate in conservative management and immediate surgery groups were 28.5% and 0%, respectively (p>0.05). CONCLUSION: In this study, even though these patients had thicker gallbladder wall and higher inflammatory markers suggesting severe inflammation, the outcome of early surgery was better than conservative management. Although the characteristics of the conservative management group was more favorable, complication rate seemed to be high.en_US
dc.identifier.doi10.5505/tjtes.2018.82357
dc.identifier.endpage158en_US
dc.identifier.issn1306-696X
dc.identifier.issue2en_US
dc.identifier.pmid30892681en_US
dc.identifier.scopus2-s2.0-85063270545en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage154en_US
dc.identifier.trdizinid341499en_US
dc.identifier.urihttps://doi.org/10.5505/tjtes.2018.82357
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/341499
dc.identifier.urihttps://hdl.handle.net/11616/92527
dc.identifier.volume25en_US
dc.identifier.wosWOS:000461479100011en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAcute cholecystitisen_US
dc.subjectcholedocholithiasisen_US
dc.subjectcholelithiasisen_US
dc.subjectpregnancyen_US
dc.titleManagement of acute cholecystitis during pregnancy: A single-center experienceen_US
dc.typeArticleen_US

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