Læknablaðið - 01.12.2016, Blaðsíða 14

542 LÆKNAblaðið 2016/102
R A N N S Ó K N
ENGLISH SUMMARY
Introduction: Gallstone disease in pregnant patients and their
management in Iceland has not been studied. Management of these
patients changed after the introduction of laparoscopic cholecystect-
omy. The aim of this study was to investigate the incidence, symptoms,
diagnostic methods and management of gallstone disease during
pregnancy at the National University Hospital of Iceland during the years
1990-2010.
Material and methods: This was a retrospective study and included all
pregnant women admitted with gallstone diseases to the National Uni-
versity Hospital of Iceland which is the only tertiary hospital in Iceland.
Information regarding age, symptoms and diagnostic methods for all
women with gallstone disease along with BMI, ASA scores, pathology
results and pregnancy related outcomes for women who underwent cho-
lecystectomy were gathered.
Results: During the twenty year time period 77 women were admitted
with gallstone disease in 139 admissions which makes incidence 0,1%
amongst pregnant women. Diagnoses incuded biliary colic (n=59),
common bile duct stones (n=10), acute cholecystitis (n=7) and gallstone
pancreatitis (n=1). The most common symptom was RUQ pain (n=63).
Two preterm births were a direct consequence of gallstone disease.
Fifteen women underwent cholecystectomy during pregnancy and 17
during the six week period after birth. Mean BMI was 31,1 and median
ASA score was 1. Pathology reports showed chronic inflammation (n=24)
and acute inflammation (n=5), one case included gallstones without
inflammation Adverse outcomes of surgeries were two cases of gallsto-
nes left in the common bile duct. No stillbirths or preterm births resulted
from cholecystectomies during pregnancy.
Conclusion: Gallstone disease during pregnancy is rare and read-
missions are frequent. Pregnancy related complications are rare.
Laparoscopic cholecystectomy is safe during pregnancy.
Gallstone disease during pregnancy at Landspitali University Hospital 1990-2010
Hörður Már Kolbeinsson1, Hildur Harðardóttir1,2, Guðjón Birgisson1,3, Páll Helgi Möller1,3
1University of Iceland, Faculty of Medicine, 2University Hospital of Iceland, Depts of Obstetrics and gynaecology and 3General Surgery.
Key words: gallstones, pregnancy, laparoscopic cholecystectomy.
Correspondence: Páll Helgi Möller pallm@landspitali.is
Tilnefning til verðlauna
Óskað er eftir tilnefningum til verðlauna úr Verðlaunasjóði Árna Kristinssonar og Þórðar Harðarsonar. Verðlaunin nema kr. 5.000.000.
Verðlaunin veitast vísindamönnum sem náð hafa framúrskarandi árangri í vísindarannsóknum í læknisfræði, lífvísindum og skyldum
greinum.
Tilnefningar þurfa að hafa borist stjórn sjóðsins fyrir 31. janúar 2017.
Tilkynnt verður um verðlaunahafa á Vísindum á vordögum Landspítala háskólasjúkrahúss vorið 2017.
Stjórn Verðlaunasjóðs Árna Kristinssonar og Þórðar Harðarsonar, Hellulandi 10, Reykjavík 108. thordhar@landspitali.is