Differential diagnostics of jaundice in pregnant women and the necessary surgical tactics
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Abstract
The article presents a modern view of jaundice in pregnant women, conducting differential diagnostics of conditions associated with such conditions as the adherence to pregnancy of hepatotropic infection which is due to various pathogens; joining jaundice as a result of various factors not caused by hepatotropic infections and the state of pregnancy, as well as jaundice caused by pregnancy pathology.
The objective: to clarify the nature of jaundice, its features for the development of optimal therapeutic conservative and surgical tactics for the preservation of the life of the mother and child.
Materials and methods. During the period from 2006 to 2015, 3353 patients with a history of cholelithiasis, 656 patients with acute cholecystitis were operated, 26 150 deliveries were performed.
Results. Due to the conducted diagnostic search, the cause of this condition should be revealed and a tactic of further patient management should be developed.
Conclusion. The improvement of the results of the treatment of biliary pathology in pregnant women is facilitated by the joint work of obstetricians, gynecologists, anesthetists and surgeons to develop the best practice of labor and delivery with the use of laparoscopic techniques.##plugins.themes.bootstrap3.article.details##
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References
Ведення вагітних із гострим та хронічним вірусними гепатитами // Наказ МОЗ України № 676 (Про затвердження клінічних протоколів з акушерської та гінекологічної допомоги). – К., 2004.
Грицько В.С., Сопко Н.И., Маило С.Ф. Внутрипеченочный холестаз беременных // Мед. аспекты здоровья женщины. – 2007. – С. 2.
Кузьмин В.Н. Варианты клинического течения и новые аспекты лечения вирусного гепатита В у беременных // Вопросы гинекологии, акушерства и перинатологии. – 2008. –
Т. 7, № 2. – С. 86–91.
Майер К.П. Гепатит и последствия гепатита / Пер. с нем. – М.: Гэотар медицина, 2000. – 423 с.
Шехтман М.М. Клинико-иммунологические варианты острых вирусных гепатитов и беременность // Журнал практических врачей. Гинекология. – 2004. – Т. 6, № 1. – С. 16–21.
Шифман Е.М. Преэклампсия, эклампсия, HELLР-синдром. – Петрозаводск: ИнтелТек, 2003. – 429 с.
Bacq Y. Hepatitis B and pregnancy // Gastroenterol. Clin. Biol. – 2008. – № 32. – Р. 9–12. https://doi.org/10.1016/S0399-8320(08)73260-3
Chen H., Yuan L., Tan J. et al. Severe liver disease in pregnancy // Int. J. Gynaecol. Obstet. – 2008. – Vol. 101 (3). – Р. 277–80. https://doi.org/10.1016/j.ijgo.2007.12.011
Clenney T.L., Viera A.J. Corticosteroids for HELLP (haemolysis, elevated liver enzymes, low platelets) syndrome // BMJ. – 2004. – № 329. – Р. 270–272. https://doi.org/10.1136/bmj.329.7460.270
Hay J.E. Liver disease in pregnancy // Hepatology. – 2008. – № 47 (3). – Р. 1067–1076. https://doi.org/10.1002/hep.22130
Hepatitis and reproduction / Practice Committee of American Society for Reproductive Medicine // Fertil. Steril. – 2008. – № 90. – Р. 226–235. https://doi.org/10.1016/j.fertnstert.2008.08.040
Hung J.H., Chu C.J., Sung P.L. et al. Lamivudine therapy in the treatment of chronic hepatitis B with acute exacerbation during pregnancy // J. Chin. Med. Assoc. – 2008. – № 71 (3). – Р. 155–158. PDF
Lammert F., Marschall H.U., Glantz A. Intrahepatic cholestasis of pregnancy: molecular pathogenesis, diagnosis and management // J. Hepatol. – 2000. – № 33. – Р. 1012–1021. https://doi.org/10.1016/S0168-8278(00)80139-7
Panther E., Blum H.E. Liver diseases in pregnancy // Dtsch. Med. Wochenschr. – 2008. – № 133 (44). – Р. 2283–2287. https://doi.org/10.1055/s-0028-1091273
Su G.L. Pregnancy and liver disease // Curr. Gastroenterol. Rep. – 2008. – № 10 (1). – Р. 15–21.
Tan J., Surti B., Saab S. Pregnancy and cirrhosis // Liver Transpl. – 2008. – № 14 (8). – Р. 1081–1091. https://doi.org/10.1002/lt.21572
