Operative vs Nonoperative Management of Acute Cholecystitis During the Different Trimesters of Pregnancy.

ABSTRACT:

Importance

Acute cholecystitis (AC) management during pregnancy requires balancing the risk of pregnancy loss or preterm delivery (adverse pregnancy outcomes [APOs]) with or without surgery. Guidelines recommend cholecystectomy across trimesters; however, trimester-specific evidence on the risks of AC and its management is lacking.

Objective

To assess cholecystectomy frequency in pregnant people with AC, compare the rates of APOs in pregnant people with or without AC, and compare the rates of APOs in people with AC who did or did not undergo cholecystectomy.

Design, setting, and participants

This retrospective, population-based cohort study used data for pregnant people with AC from the IBM MarketScan Commercial Claims and Encounters Database from January 1, 2007, to

SUBMITTER: Hantouli MN 

PROVIDER: S-EPMC10652218 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature