Journals / Annals of Medical Research / 2021 / Cilt: 28 - Sayı: 3

Effectiveness of ursodeoxycholic acid for the treatment ofgall bladder stones and sludge in pregnant women

Pages
593–596
Publication Date
2022-10-12
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

It both relieves symptoms anddecreases the need for hospitalization.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: The objective of this study is to evaluate the effectiveness of ursodeoxycholic acid (UDCA) for the treatment of symptomaticpregnant women with gall bladder stones and/or sludge.Materials and Methods: Gynecology and obstetrics clinic patients who were symptomatic with gallbladder stones and/ormicrolithiasis were included in the study.
📊
Key Findings & Data:Group 1 consisted of cases with conservative treatment and group 2 consisted of caseswith UDCA treatment.
💡
Conclusion & Impact:It both relieves symptoms anddecreases the need for hospitalization.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: The objective of this study is to evaluate the effectiveness of ursodeoxycholic acid (UDCA) for the treatment of symptomaticpregnant women with gall bladder stones and/or sludge.Materials and Methods: Gynecology and obstetrics clinic patients who were symptomatic with gallbladder stones and/ormicrolithiasis were included in the study. Group 1 consisted of cases with conservative treatment and group 2 consisted of caseswith UDCA treatment. After treatment, the groups were compared for symptomatic and radiological relief and hospitalization.Results: For group 2, the mean treatment time with UDCA was 7.6 weeks. After treatment, a full cure was achieved in 28% of casesand symptomatic relief was achieved in 36% of cases. In group one; there was response to treatment in only 12% of cases. Inthe UDCA group, none of the patients needed hospitalization; however, in the conservative treatment group, five cases neededhospitalization.Conclusion: UDCA is effective for the treatment of symptomatic gall bladder disease in pregnancy. It both relieves symptoms anddecreases the need for hospitalization.

🔖

Cite This Article

Tanrıkulu, Y., Alptekin, H., Gemici, K., Okus, A., Sevinç, B. (2022). Effectiveness of ursodeoxycholic acid for the treatment ofgall bladder stones and sludge in pregnant women. Annals of Medical Research, Cilt: 28 - Sayı: 3, 593–596. https://ajindex.com/articles/445930

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. de Bari O, Wang TY, Liu M, et al. Cholesterol cholelithiasis in pregnant women: pathogenesis, prevention and treatment. Ann Hepatol 2014;13:728- 45
  2. Xiao ZL, Chen Q, Biancani P, et al. Mechanisms of gallbladder hypomotility in pregnant guinea pigs. Gastroenterology. 1999;116:411-9
  3. Bolukbas FF, Bolukbas C, Horoz M, et al. Risk factors associated with gallstone and biliary sludge formation during pregnancy. J Gastroenterol Hepatol 2006;21:1150-3. 4. del Avila-Silva MR, Zavala-Castillo JC, Coronel-Cruz FM. Laparoscopic cholecystectomy in pregnant patient: experience in hospital General de Mexico in a period of 5 years (2008-2012). Ginecol Obstet Mex 2014;82:509-17
  4. Ramin KD, Ramsey PS. Disease of the gallbladder and pancreas in pregnancy. Obstet Gynecol Clin North Am 2001;28:571-80
  5. Guarino MP, Cong P, Cicala M, et al. Ursodeoxycholic acid improves muscle contractility and inflammation in symptomatic gallbladders with cholesterol gallstones. Gut 2007;56:815-20
  6. I'lchenko AA, Orlova IuN. Effectiveness of ursodeoxycholic acid in cholesterosis of the gallbladder. Ter Arkh 2003;75:35-8
  7. Bouyou J, Gaujoux S, Marcellin L, et al. Abdominal emergencies during pregnancy. J Visc Surg 2015;152:105-15
  8. Ibitoye BO, Adisa AO, Makinde ON, et al. Prevalence and complications of gallstone disease among pregnant women in a Nigerian hospital. Int J Gynaecol Obstet 2014;125:41-3
  9. Jorge AM, Keswani RN, Veerappan A, et al. Non-operative management of smymptomatic cholelithiasis in pregnancy is associated with frequent hospitalizations. J Gastrointest Surg. 2015;19:598- 603
  10. Othman MO, Stone E, Hashimi M, et al. Conservative management of cholelithiasis and its complications in pregnancy is associated with recurrent symptoms and more emergency department visits. Gastrointest Endosc 2012;76:564-9
  11. Kuy S, Roman SA, Desai R, et al. Outcomes following cholecystectomy in pregnant and nonpregnant women. Surgery 2009;146:358-66
  12. Abate MA. Medical management of cholesterol gallstones. Drug Intell Clin Pharm 1986;20:106-15
  13. Salen G. Clinical perspective on the treatment of gallstones with ursodeoxycholic acid. J Clin Astronautical 1988;10:12-7
  14. O'Donnell LD, Heaton KW. Recurrence and rerecurrence of gall stones after medical dissolution: a longterm follow up. Gut 1988;29:655-8
  15. Mijnhout GS, Smulders YM, Craanen ME. Gallstones following considerable weight loss and recommendations for their prevention. Ned Tijdschr Geneeskd 2004;148:174-7.