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Managing Gallstone during Pregnancy Tatalaksana Batu Empedu pada Kehamilan

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Transient physiological changes in the biliary system during preg¬nancy increased the risk of gallbladder diseases. Nonoperative man¬agement of symptomatic cholelithiasis increases the risk of compli¬cations of biliary lithiasis, such as cholecystitis and empyema, while obstruction common bile duct stones with or without cholangitis and biliary pancreatitis raise maternal mortality. Delay in definitive surgical treatment of biliary diseases during pregnancy increases the likelihood acute biliary pancreatitis which impact on preterm de¬livery until fetal lost. Laparoscopic cholesystectomy during preg¬nancy has advantages for the mother in that it speeds up her recov¬ery, giving her less pain and facilitated natural birth without a ce¬sarean section. On the fetus side, laparoscopic cholecystectomy is safe since it does not induce preterm delivery or abortion. Identifi¬cation of gallbladder stone during pregnancy warrant a preventive laparoscopic cholesystectomy or endoscopic CBD exploration, both of which promise good outcomes.
[Indones J Obstet Gynecol 2013; 1-4: 219-21]
Keywords: adult choledochal cyst, biliary cyst, biliary dilatation, mixed type

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Indonesian Journal of Obstetrict and Gynecology, 1

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Jakarta : Indonesian Society of Obstetetrict and Gynecology., 2013

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3 p

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2338-6401

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