Symptomatic cholelithiasis during pregnancy poses challenges in management due to concerns regarding fetal safety and maternal well‐being. While non‐operative approaches are often preferred, their efficacy in reducing hospitalizations remains unclear. study was conducted at MGM Medical College and Hospital, Jamshedpur, from January 2022‐December 2023. Sixty pregnant women with symptomatic cholelithiasis were included in the study. Data regarding patient demographics, clinical presentation, management strategy, and hospitalizations were collected and analyzed. Among the 60 pregnant women with symptomatic cholelithiasis, the average age was 28 years. The majority presented with biliary colic (80%) and were managed conservatively with dietary modifications and symptomatic treatment. However, despite non‐operative management, 45% of the patients required hospitalization due to recurrent symptoms or complications such as acute cholecystitis or choledocholithiasis. The average number of hospitalizations per patient was 1.8, with an average duration of 4 days per admission Non‐operative management of symptomatic cholelithiasis in pregnancy, although commonly practiced, is associated with frequent hospitalizations. This suggests that while conservative measures may provide temporary relief, they may not adequately prevent disease progression or complications necessitating hospital care. Further research is warranted to optimize the management strategies for this patient population and reduce the burden of hospitalizations.
Arshi Perween and Mohammad Sarwar Alam. Implications of Non‐Operative Management for Symptomatic Cholelithiasis in Pregnancy.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.6.387.389
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.6.387.389