Gallstone Disease in Pregnancy
The management of symptomatic gallstones during pregnancy is difficult, as there is limited evidence to support clinical decision making. Published guidelines exist with recommendations based on the best evidence available . Other authors have attempted to do complex decision making analysis and modelling to determine the best care ; nonetheless, there is very little comparative data. Most of the data comes from reported case series with only 277 cases of laparoscopic cholecystectomy in pregnancy reported until 2007 . Despite this, symptomatic gallstones are the second most frequent acute presentation in pregnant women, after acute appendicitis (Kant, ). However, the incidence is still low, with 0.05–0.8% of all pregnancies developing symptomatic gall stones [4–7].
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