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PANCREATITIS IN PREGNANCY: CASE MANAGMENT
Summary
This review summarizes current data on acute and chronic pancreatitis in pregnancy, focusing on improving diagnosis and treatment. Effective management of gallstone-induced biliary pancreatitis significantly reduces maternal and perinatal mortality.
Area of Science:
- Gastroenterology
- Obstetrics
Background:
- Pregnancy complicates the diagnosis of hepatopancreatobiliary diseases.
- Acute and chronic pancreatitis present unique challenges during gestation.
Purpose of the Study:
- To review current data on pancreatitis in pregnancy.
- To enhance diagnostic and therapeutic strategies for pregnant women.
- To address the differential diagnosis of hepatopancreatobiliary pathology.
Main Methods:
- Review of incidence, etiology, pathogenesis, and severity assessment of acute pancreatitis in pregnant women.
- Evaluation of imaging techniques: endoscopic ultrasound, magnetic resonance cholangiopancreatography, endoscopic retrograde cholangiopancreatography.
- Analysis of treatment modalities: endoscopic sphincterotomy, common bile duct stone extraction, laparoscopic cholecystectomy.
Main Results:
- Gallstones are the most frequent cause of acute pancreatitis in pregnancy, leading to biliary pancreatitis.
- Advanced imaging and endoscopic interventions are feasible and effective in pregnant patients.
- Expert-opinion-based recommendations guide clinical management.
Conclusions:
- Active clinical management improves the diagnosis and treatment of pancreatitis in pregnant women.
- Effective management, particularly for biliary pancreatitis, leads to a significant reduction in maternal and perinatal mortality.
- While lacking randomized controlled trials, expert consensus supports current approaches.
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