Álvarez-Villaseñor Andrea Socorro, Mascareño-Franco Héctor Luis, Agundez-Meza José Juan, Cardoza-Macías Francisco, Fuentes-Orozco Clotilde, Rendón-Félix Jorge, Chávez-Tostado Mariana, Irusteta-Jiménez Leire, García-Rentería Jesús, Contreras-Hernández Guadalupe Ivette, González-Ojeda Alejandro
Coordinación Auxiliar Médica de Investigación en Salud, IMSS, Guadalajara, Jal., México.
Servicio de Cirugía General, Benemérito Hospital General Juan María de Salvatierra, Secretaría de Salud. La Paz, B.C.S., México, Guadalajara, Jal., México.
Gac Med Mex. 2017 Mar-Apr;153(2):159-165.
Pregnancy and the postpartum period are risk factors for developing biliary sludge, gallstones, and any of their complications.
To determine the prevalence, presentation, and consequences of cholestasis during pregnancy and postpartum in a referral hospital of Baja California Sur.
This was a retrospective, observational study that enrolled pregnant or postpartum patients diagnosed with gallstones with any presentation.
137 patients were included, with 22 ± 4 years of age; 33 were pregnant and 104 in the postpartum period. Only 14% of the group had a history of cholelithiasis, and overweight/obesity was observed in 66.7 and 66.3% of pregnant and postpartum patients, respectively (p = 0.94). Of pregnant patients, 33.3% presented with acute cholecystitis, a condition observed in 16.3% of the postpartum patients (p = 0.04). Pancreatitis and choledocholithiasis were slightly more common in pregnant women (21.23% vs. 19.2%; p = 0.56). There was no maternal mortality and one case of spontaneous abortion was exclusively observed.
It is a priority to diagnose and monitor cholelithiasis in pregnant women because the acute cases observed occurred more frequently, but choledocholithiasis and pancreatitis occurred similarly in both groups.
妊娠和产后是发生胆泥、胆结石及其任何并发症的危险因素。
确定南下加利福尼亚州一家转诊医院妊娠和产后胆汁淤积的患病率、表现及后果。
这是一项回顾性观察研究，纳入了所有表现形式的诊断为胆结石的孕妇或产后患者。
共纳入137例患者，年龄22±4岁；33例为孕妇，104例处于产后阶段。该组中只有14%有胆石症病史，孕妇和产后患者中超重/肥胖的比例分别为66.7%和66.3%（p = 0.94）。孕妇中，33.3%出现急性胆囊炎，产后患者中这一比例为16.3%（p = 0.04）。胰腺炎和胆总管结石在孕妇中略为常见（21.23%对19.2%；p = 0.56）。无孕产妇死亡，仅观察到1例自然流产。
对孕妇胆石症进行诊断和监测是当务之急，因为观察到的急性病例更频繁发生，但胆总管结石和胰腺炎在两组中的发生率相似。
