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https://www.readbyqxmd.com/read/27488114/pregnancy-following-bariatric-surgery-medical-complications-and-management
#1
REVIEW
Ram Prakash Narayanan, Akheel A Syed
Bariatric surgery is most commonly carried out in women of childbearing age. Whilst fertility rates are improved, pregnancy following bariatric surgery poses several challenges. Whilst rates of many adverse maternal and foetal outcomes in obese women are reduced after bariatric surgery, pregnancy is best avoided for 12-24 months to reduce the potential risk of intrauterine growth retardation. Dumping syndromes are common after bariatric surgery and can present diagnostic and therapeutic challenges in pregnancy...
October 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27324332/laparoscopic-versus-open-cholecystectomy-in-pregnancy-a-systematic-review-and-meta-analysis
#2
Negin Sedaghat, Amy M Cao, Guy D Eslick, Michael R Cox
BACKGROUND: The operative management of symptomatic cholelithiasis during pregnancy is either laparoscopic cholecystectomy (LC) or open cholecystectomy (OC). The aim of this systematic review and meta-analysis is to compare the outcomes of the laparoscopic and open approach for cholecystectomy during pregnancy. METHOD: A literature search was conducted using MEDLINE, PubMed, EMBASE, Cochrane Library, Web of Science, CINAHL and Current Contents Connect using appropriate search terms...
June 20, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/26366362/umbilical-hernia-with-cholelithiasis-and-hiatal-hernia-a-clinical-entity-similar-to-saint-s-triad
#3
Takahiro Yamanaka, Tatsuya Miyazaki, Yuji Kumakura, Hiroaki Honjo, Keigo Hara, Takehiko Yokobori, Makoto Sakai, Makoto Sohda, Hiroyuki Kuwano
We experienced two cases involving the simultaneous presence of cholelithiasis, hiatal hernia, and umbilical hernia. Both patients were female and overweight (body mass index of 25.0-29.9 kg/m(2)) and had a history of pregnancy and surgical treatment of cholelithiasis. Additionally, both patients had two of the three conditions of Saint's triad. Based on analysis of the pathogenesis of these two cases, we consider that these four diseases (Saint's triad and umbilical hernia) are associated with one another...
2015: Surgical Case Reports
https://www.readbyqxmd.com/read/26324191/abcb4-mutations-in-adult-patients-with-cholestatic-liver-disease-impact-and-phenotypic-expression
#4
Dario Degiorgio, Andrea Crosignani, Carla Colombo, Domenico Bordo, Massimo Zuin, Emanuela Vassallo, Marie-Louise Syrén, Domenico A Coviello, Pier Maria Battezzati
BACKGROUND: The ABCB4 gene encodes the MDR3 protein. Mutations of this gene cause progressive familial intrahepatic cholestasis type 3 (PFIC3) in children, but their clinical relevance in adults remains ill defined. The study of a well-characterized adult patient series may contribute to refining the genetic data regarding cholangiopathies of unknown origin. Our aim was to evaluate the impact of ABCB4 mutations on clinical expression of cholestasis in adult patients. METHODS: We consecutively evaluated 2602 subjects with hepatobiliary disease...
March 2016: Journal of Gastroenterology
https://www.readbyqxmd.com/read/26185338/ultrasonographic-study-and-doppler-flow-velocimetry-of-maternal-kidneys-and-liver-in-low-risk-pregnancy
#5
Cibele Helena Daher, Andrea Cavalanti Gomes, Sergio Kobayashi, Giovanni Guido Cerri, Maria Cristina Chammas
OBJECTIVE: Longitudinal study with B-mode ultrasonography and Doppler ultrasonography of maternal kidneys and liver in low-risk pregnancy, to establish and quantify normality parameters, correlating them with physiological changes. MATERIALS AND METHODS: Twenty-five pregnant women were assessed and selected to participate in the study, each of them undergoing four examinations at the first, second, third trimesters and postpartum. RESULTS: Findings during pregnancy were the following: increased renal volume, pyelocaliceal dilatation with incidence of 45...
May 2015: Radiologia Brasileira
https://www.readbyqxmd.com/read/25968488/laparoscopic-cholecystectomy-in-pregnancy-an-australian-retrospective-cohort-study
#6
Ashvin Paramanathan, Sam Zachary Walsh, Jieyun Zhou, Steven Chan
INTRODUCTION: Biliary tract disease is a common non-obstetric surgical presentation during pregnancy. Although small international series demonstrate favourable outcomes following laparoscopic cholecystectomy (LC) during pregnancy, there is a paucity of Australian data to complement these findings. METHOD: Between 1st January 2003 and 30th June 2013, all patients undergoing planned LC during pregnancy at Western Health were retrospectively identified. RESULTS: Twenty-two patients underwent planned LC with 3 (13%) cases converted to open surgery...
June 2015: International Journal of Surgery
https://www.readbyqxmd.com/read/25650166/non-operative-management-of-symptomatic-cholelithiasis-in-pregnancy-is-associated-with-frequent-hospitalizations
#7
April M Jorge, Rajesh N Keswani, Anna Veerappan, Nathaniel J Soper, Andrew J Gawron
Symptomatic cholelithiasis (SC) is common in pregnancy. Guidelines recommend laparoscopic cholecystectomy (LC) for SC in pregnancy. Our aim was to evaluate current practice patterns and outcomes for patients undergoing initial non-operative management for uncomplicated SC during pregnancy. We performed a retrospective analysis and telephone survey of all patients presenting in a 42-month period to a tertiary care center for uncomplicated SC during pregnancy. Women with complicated gallstone disease, including cholecystitis, pancreatitis, choledocholithiasis, and cholangitis were excluded...
April 2015: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/25612754/pregnancy-and-abcb4-gene-mutation-risk-of-recurrent-cholelithiasis
#8
Jan H Elderman, Pieter C J ter Borg, Jan Dees, Adriaan Dees
Cholelithiasis is a common problem in the Western world. Recurrent gallstones after cholecystectomy, however, are rare. We describe a case of a young woman with recurrent gallstones after a laparoscopic cholecystectomy leading to cholangitis during pregnancy. Additional testing revealed an ATP-binding cassette B4 (ABCB4) gene mutation. ABCB4 gene mutations leading to a multidrug resistance (MDR)3-P-glycoprotein deficiency are related to, among other diseases, recurrent cholelithiasis. Medical treatment consists of administering oral ursodeoxycholic acid...
2015: BMJ Case Reports
https://www.readbyqxmd.com/read/25448511/recent-trends-in-hepatic-diseases-during-pregnancy-in-the-united-states-2002-2010
#9
Sascha R Ellington, Lisa Flowers, Jennifer K Legardy-Williams, Denise J Jamieson, Athena P Kourtis
OBJECTIVE: While pregnancy-related severe liver disorders are rare, when they occur morbidity and mortality rates are increased for mothers and infants. The objective of this study was to examine the prevalence and trends of hepatic diseases during pregnancy hospitalizations from 2002 through 2010 in the United States. STUDY DESIGN: Hospital discharge data were obtained from the Nationwide Inpatient Sample, the largest all-payer hospital inpatient care database in the United States that provides nationally representative estimates...
April 2015: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/25405198/acute-abdomen-in-pregnancy-due-to-isolated-fallopian-tube-torsion-the-laparoscopic-treatment-of-a-rare-case
#10
Zacharoula Sidiropoulou, António Setúbal
In the last years, operative laparoscopy became a standard approach in gynaecology and general surgery. Even in pregnancy its use is becoming more widely accepted. In fact, it offers advantages similar to those in no pregnant women, associated with good maternal and fetal outcomes. Around 0.2% of pregnant women require abdominal surgery. The most common indications of laparoscopy in pregnancy are cholelithiasis complications, appendicitis, persistent ovarian cyst and adnexal torsion. Authors describe a very rare case of acute abdomen due to isolated Fallopian tube torsion in a 24(th) weeks pregnant woman, managed by laparoscopic salpingectomy...
November 16, 2014: World Journal of Clinical Cases
https://www.readbyqxmd.com/read/25349754/short-and-long-term-outcomes-associated-with-fetal-cholelithiasis-a-report-of-two-cases-with-antenatal-diagnosis-and-postnatal-follow-up
#11
Juan Troyano-Luque, Ana Padilla-Pérez, Ingrid Martínez-Wallin, Margarita Alvarez de la Rosa, Salvatore Andrea Mastrolia, José Luis Trujillo, Tirso Pérez-Medina
The aims of this study were to present and discuss ultrasound findings of prenatal fetal cholelithiasis in two cases with different etiology and evolution. Case 1: a pregnant woman from sub-Saharan Africa, suffering from Lyme disease, was treated with ceftriaxone sodium. Six weeks later, biliary sludge associated with polyhydramnios was detected in the fetus and the fetal growth percentile was 14. Emergency caesarean was performed at 36 weeks of gestation due to fetal distress. Biliary sludge persists in the two-and-a-half-year-old child...
2014: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/25332259/cholesterol-cholelithiasis-in-pregnant-women-pathogenesis-prevention-and-treatment
#12
Ornella de Bari, Tony Y Wang, Min Liu, Chang-Nyol Paik, Piero Portincasa, David Q-H Wang
Epidemiological and clinical studies have found that gallstone prevalence is twice as high in women as in men at all ages in every population studied. Hormonal changes occurring during pregnancy put women at higher risk. The incidence rates of biliary sludge (a precursor to gallstones) and gallstones are up to 30 and 12%, respectively, during pregnancy and postpartum, and 1-3% of pregnant women undergo cholecystectomy due to clinical symptoms or complications within the first year postpartum. Increased estrogen levels during pregnancy induce significant metabolic changes in the hepatobiliary system, including the formation of cholesterol-supersaturated bile and sluggish gallbladder motility, two factors enhancing cholelithogenesis...
November 2014: Annals of Hepatology
https://www.readbyqxmd.com/read/25303682/ezetimibe-prevents-the-formation-of-oestrogen-induced-cholesterol-gallstones-in-mice
#13
Ornella de Bari, Helen H Wang, Piero Portincasa, Chang-Nyol Paik, Min Liu, David Q-H Wang
BACKGROUND: Oestrogen is an important risk factor for cholesterol cholelithiasis not only in women of childbearing age taking oral contraceptives and postmenopausal women undergoing hormone replacement therapy, but also in male patients receiving oestrogen therapy for prostatic cancer. In women, hormonal changes occurring during pregnancy markedly increase the risk of developing gallstones. We investigated whether the potent cholesterol absorption inhibitor ezetimibe could prevent the formation of oestrogen-induced cholesterol gallstones in mice...
December 2014: European Journal of Clinical Investigation
https://www.readbyqxmd.com/read/25283265/prevalence-of-gallstone-disease-in-patients-with-type-2-diabetes-and-the-risk-factors-in-north-indian-population-a-case-control-study
#14
Jaswinder Singh Sodhi, Showkat Ali Zargar, Shafkatullah Khateeb, Abid Showkat, Gul Javid, Bashir Ahmad Laway, Shaheena Parveen, Bashir Ahmad Khan, Ghulam Nabi Yattoo, Altaf Shah, Ghulam Mohd Gulzar, Mushtaq Ahmed Khan
BACKGROUND: Age, female sex, and obesity are considered to be risk factors for gallstone disease. The role of type 2 diabetes (T2D) in gallstone formation is still uncertain, and data in Indians is limited. OBJECTIVES: This is a case-control study to determine the prevalence of gallstones (GS) in patients with T2D, risk factors, and the relative risk compared with subjects without diabetes, selected from the general population. METHODS: Among 450 cases with T2D of a ≥2-year duration, 377 (88...
November 2014: Indian Journal of Gastroenterology: Official Journal of the Indian Society of Gastroenterology
https://www.readbyqxmd.com/read/25133187/molecular-mechanisms-for-biliary-phospholipid-and-drug-efflux-mediated-by-abcb4-and-bile-salts
#15
REVIEW
Shin-ya Morita, Tomohiro Terada
On the canalicular membranes of hepatocytes, several ABC transporters are responsible for the secretion of bile lipids. Among them, ABCB4, also called MDR3, is essential for the secretion of phospholipids from hepatocytes into bile. The biliary phospholipids are associated with bile salts and cholesterol in mixed micelles, thereby reducing the detergent activity and cytotoxicity of bile salts and preventing cholesterol crystallization. Mutations in the ABCB4 gene result in progressive familial intrahepatic cholestasis type 3, intrahepatic cholestasis of pregnancy, low-phospholipid-associated cholelithiasis, primary biliary cirrhosis, and cholangiocarcinoma...
2014: BioMed Research International
https://www.readbyqxmd.com/read/24878204/-prenatal-diagnosis-of-gallbladder-abnormalities-a-review
#16
REVIEW
M Matar, J-M Ayoubi, O Picone
OBJECTIVES: Our objective was to review the possible consequences and management possibilities of fetal gallbladder abnormalities. MEANS AND METHODS: A search through publications was conducted using the Pubmed database. RESULT: The majority of fetal gallbladder abnormalities are benign (absence, malformation, cholelithiasis, sludge...). When the absence of gallbladder is isolated, biliary tract atresia, that is a rare but severe disease, must be evoked...
October 2014: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
https://www.readbyqxmd.com/read/24862427/safe-delivery-of-two-parturient-women-in-severe-metabolic-acidosis
#17
Ina Ismiarti Shariffuddin, Vineya Rai, Y K Chan, Rajesh Kumar Muniandy
Care of an acutely ill parturient is particularly difficult when we have to balance the needs of both mother and the fetus to survive. The literature suggests there should be emphasis on stabilising the mother's condition. In dealing with metabolic acidosis, however, we believe delivering the baby early might not only relieve the threat of the acidosis on the mother, it may be the only way to deliver a live baby. We report two parturient women with severe metabolic acidosis which was considerably reduced very soon after the delivery and how our timely delivery resulted in the birth of two neurologically intact babies...
2014: BMJ Case Reports
https://www.readbyqxmd.com/read/24723470/phosphorylation-of-abcb4-impacts-its-function-insights-from-disease-causing-mutations
#18
Julien Gautherot, Danièle Delautier, Marie-Anne Maubert, Tounsia Aït-Slimane, Gérard Bolbach, Jean-Louis Delaunay, Anne-Marie Durand-Schneider, Delphine Firrincieli, Véronique Barbu, Nicolas Chignard, Chantal Housset, Michèle Maurice, Thomas Falguières
UNLABELLED: The ABCB4 transporter mediates phosphatidylcholine (PC) secretion at the canalicular membrane of hepatocytes and its genetic defects cause biliary diseases. Whereas ABCB4 shares high sequence identity with the multidrug transporter, ABCB1, its N-terminal domain is poorly conserved, leading us to hypothesize a functional specificity of this domain. A database of ABCB4 genotyping in a large series of patients was screened for variations altering residues of the N-terminal domain...
August 2014: Hepatology: Official Journal of the American Association for the Study of Liver Diseases
https://www.readbyqxmd.com/read/24535364/-clinical-analysis-of-acute-hyperlipidemic-pancreatitis-during-pregnancy-and-postpartum-period
#19
Hong-liang Li, Yuan-hui Jiang, Yuan Wei, Yang-yu Zhao, Xi Zhu, Gai-qi Yao
OBJECTIVE: To describe the characteristics of acute pancreatitis during pregnancy and postpartum. METHODS: From 1994 to 2012, 18 cases of gravida and postpartum women complicated with acute pancreatitis were treated at Peking University Third Hospital and retrospective analysis was performed. RESULTS: The admission rate due to acute pancreatitis was 41.24 per 100 000 admission. The median age was 32.0 (28.0, 34.7) years, with the onset of acute pancreatitis on 35...
February 18, 2014: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/24519714/acute-pancreatitis-in-pregnancy-a-comparison-of-associated-conditions-treatments-and-complications
#20
COMPARATIVE STUDY
Audrey Gilbert, Valerie Patenaude, Haim A Abenhaim
OBJECTIVE: Acute pancreatitis is a rare condition in pregnancy. The aim of this study is to compare associated conditions, treatments and complications of pancreatitis in pregnant and age-matched non-pregnant controls. METHODS: We carried out a population-based retrospective cohort study using the Healthcare Cost and Utilization Project Nationwide Inpatient Sample (HCUP-NIS) from 2003 to 2010. A cohort of pregnant women with acute pancreatitis was created and compared to a created age-matched cohort of non-pregnant women with acute pancreatitis at a 1:4 ratio...
September 2014: Journal of Perinatal Medicine
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