Gastrointestinal Diseases in Pregnancy

10.2310/tywc.19053 ◽

2020 ◽

Author(s):

Jennifer X Cai ◽

Punyanganie S. de Silva

Keyword(s):

Reflux Disease ◽

Treatment Guidelines ◽

Gastrointestinal Disease ◽

Gall Stone ◽

Gastrointestinal Symptoms ◽

Gastrointestinal Diseases ◽

Stone Disease ◽

Gastrointestinal Disorders ◽

Esophageal Reflux ◽

Gall Stone Disease

During pregnancy many chronic gastrointestinal disorders can undergo exacerbations. In addition, pregnant women are often susceptible to new gastrointestinal symptoms. The goal of care is to control symptoms, minimize exposure to excessive tests and medications and rule out any urgent need for surgery. Efforts should be made to minimize risk to mother and fetus when performing diagnostic endoscopic and radiologic tests. In this chapter, we will review the current management of common gastrointestinal disorders during pregnancy, including gastro-esophageal reflux disease, constipation, appendicitis, inflammatory bowel disease and gall stone disease. The safety of medications used to treat gastrointestinal disease will be reviewed and new treatment guidelines and concepts will be discussed. This review contains 5 tables, 4 figures and 55 references. Key words: appendicitis, cholelithiasis, constipation, Crohn’s disease, gall stones, gastrointestinal disease, gastro-esophageal reflux disease, jaundice, pregnancy, ulcerative colitis

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Diagnostic value of upper gastrointestinal endoscopy prior to elective laparoscopic cholecystectomy for symptomatic cholelithiasis

International Surgery Journal ◽

10.18203/2349-2902.isj20175549 ◽

2017 ◽

Vol 5 (1) ◽

pp. 105

Author(s):

Indira Khedkar ◽

Dinesh Prasad ◽

Achal Datta

Keyword(s):

Laparoscopic Cholecystectomy ◽

Gall Stone ◽

Gastrointestinal Symptoms ◽

Stone Disease ◽

P Value ◽

Upper Gastrointestinal Endoscopy ◽

Complete Relief ◽

Gastrointestinal Lesions ◽

Gall Stone Disease ◽

Symptomatic Gall Stone

Background: Laparoscopic cholecystectomy is gold standard surgery for symptomatic gall stone disease which is the commonest disease needs surgical management. Present study was conducted to contribute UGI endoscopy as routine preoperative investigation and the importance of UGI endoscopy to evaluate the association between gastrointestinal symptoms with gallstones and reduce the prevalence of post cholecystectomy pain.Methods: Patients with Ultrasonography suggestive of single or multiple gall stones were included and investigated as per proforma. Upper GI Scopy was done 1 to 2 days prior to laparoscopic cholecystectomy as per inclusion and exclusion criteria. All patients above 18years, with ultrasonographically proven diagnosis of cholelithiasis and with symptoms (typical and atypical) were included.Results: In present study, author have evaluated the different OGD pathologies the most common site of pathology was stomach (72.5%) that was gastritis. Followed by oesophagitis (55%), and Hiatus hernia (16.5) The most common duodenal pathology was duodenitis (6.25%). In present study, 71 patients had pain in epigastrium at presentation which gradually subsided with no complains of pain in 3 months. Statistically significant reduction in pain was appraised at the end of first week itself (p-value <0.0001).Conclusions: Certain symptoms associated with gallstones are not alleviated by cholecystectomy itself and requires further exploration, therefore, patients presenting with symptomatic gall stone disease should undergo routine OGD prior to cholecystectomy as many gastrointestinal lesions may coexist which prevents the complete relief of the symptoms after cholecystectomy.

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Investigation of the Lith1 candidate genes ABCB11 and LXRA in human gall stone disease

Zeitschrift für Gastroenterologie ◽

10.1055/s-2006-950845 ◽

2006 ◽

Vol 44 (08) ◽

Author(s):

C Schafmayer ◽

J Tepel ◽

JH Egberts ◽

A Franke ◽

S Buch ◽

...

Keyword(s):

Candidate Genes ◽

Gall Stone ◽

Stone Disease ◽

Gall Stone Disease

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Early experience of laparoscopic cholecystectomy in acutely inflamed gallbladder

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v9ispl1.1283 ◽

2018 ◽

Vol 9 (SPL1) ◽

Author(s):

Ali Abdul Hussein Handoz ◽

Ahmed Kh Alsagban

Keyword(s):

Laparoscopic Cholecystectomy ◽

Acute Cholecystitis ◽

Gall Stone ◽

The Elderly ◽

Stone Disease ◽

Definitive Treatment ◽

Adjacent Structures ◽

Common Causes ◽

Gall Stone Disease ◽

Male To Female

Gallstones are now among the most important disease in the era of surgery. Definitive treatment of gall stone disease remains cholecystectomy. One of the common causes of emergency surgical referral is acute cholecystitis of which 50-70% cases are seen in the elderly patients.50 patients were treated with laparoscopic cholecystectomy from October 2013 to October 2015. The patient’s age was from 20 to 65 years old with a mean age of 34 ±3 years old. The patients received in the emergency unit and their attack not more than 72 hrs of acute gall stone inflammation were included in this study.From the 50 patients,15 were males (34%) and females were 35 (74%) so the ratio of 1:2of male to female. Problems and complications that facing in this study at time of laparoscopy were mainly adhesions to the adjacent structures like stomach, colon, and omentum. Adhesion into CBD also considered.Early intervention for acute cholecystitis of calculus type by laparoscopy now regarding safe and gold standard approach that should be kept in mind when dealing with such cases.

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Eosinophilic Gastrointestinal Diseases: Review and Update

ISRN Gastroenterology ◽

10.5402/2012/463689 ◽

2012 ◽

Vol 2012 ◽

pp. 1-8 ◽

Cited By ~ 14

Author(s):

Mahreema Jawairia ◽

Ghulamullah Shahzad ◽

Paul Mustacchia

Keyword(s):

Gastrointestinal Tract ◽

Clinical Features ◽

Gastrointestinal Symptoms ◽

Gastrointestinal Diseases ◽

Gastrointestinal Disorders ◽

Diverse Group ◽

Intestinal Diseases ◽

Gastrointestinal Inflammation ◽

Eosinophilic Gastrointestinal Disorders

Eosinophilic gastrointestinal disorders (EGIDs) are a progressively more frequent diverse group of intestinal diseases. The intention of this paper is to present the newest developments in the care of patients with EGIDs and to sum up a rising literature defining the clinical features and mechanistic elements of eosinophils and their intricate associations with the gastrointestinal tract. Clinicians ought to stay sensitive to EGIDs as a diagnostic likelihood for patients with general gastrointestinal symptoms. Further research is warranted to establish various methods leading to dysfunction coupled with eosinophilic gastrointestinal inflammation.

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