Gerardo Chávez-Saavedra, Departamento de Medicina y Nutrición, Universidad de Guanajuato, León, Guanajuato, México
Elia Lara-Lona, Departamento de Medicina y Nutrición, Universidad de Guanajuato, León, Guanajuato, México
Daniel Díaz-Martínez, Departamento de Medicina y Nutrición, Universidad de Guanajuato, León, Guanajuato, México
Laura Villaseñor-López-Velarde, Departamento de Medicina y Nutrición, Universidad de Guanajuato, León, Guanajuato, México
Angélica Espinosa-Hinojosa, Servicio de Cirugía General, Hospital General de Comitán, Comitán, Chiapas, México
Manuel Rivera-Sahagún, Servicio de Cirugía, Hospital General Regional No. 58, León, Guanajuato. México
Objective: To present the treatment of choice and approach in pregnant and postpartum women with a diagnosis of gallstones in Mexico and to compare it with the recommendations of international guidelines. Method: Observational, descriptive, and retrospective study based on information from the 2019 Dynamic Cubes database of pregnant women diagnosed with cholecystitis and/or cholelithiasis who had undergone cholecystectomy. Results: During 2019, 937 patients with cholelithiasis and cholecystitis were registered, 516 (55%) pregnant and 421 (45%) in puerperium. 91.47% of cases were managed with medical treatment and 8.53% with cholecystectomy, with predominance in the open approach in 63.75% of cases. Mortality was nil in both groups. Conclusions: Despite current international guidelines recommending early laparoscopic cholecystectomy in pregnant or puerperal women, in Mexico medical treatment, delayed cholecystectomy and its open approach are still privileged.
Keywords: Cholelithiasis in pregnancy. Cholecystitis in pregnancy. Cholecystectomy in pregnancy. Laparoscopic cholecystectomy in pregnancy. Abdominal pain in pregnancy.