<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-1281</journal-id>
<journal-title><![CDATA[Revista Cirugía del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. Urug.]]></abbrev-journal-title>
<issn>1688-1281</issn>
<publisher>
<publisher-name><![CDATA[Sociedad de Cirugía del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-12812024000101201</article-id>
<article-id pub-id-type="doi">10.31837/cir.urug/8.1.17</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Colecistectomía en embarazadas con patología biliar complicada en el Hospital de Clínicas]]></article-title>
<article-title xml:lang="en"><![CDATA[Cholecystectomy in pregnant women with complicated biliary pathology at the Hospital de Clínicas]]></article-title>
<article-title xml:lang="pt"><![CDATA[Colecistectomia em gestantes com patologia biliar complicada no Hospital de Clínicas]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zeoli]]></surname>
<given-names><![CDATA[Mariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pontillo]]></surname>
<given-names><![CDATA[Marcelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guillén]]></surname>
<given-names><![CDATA[Alison]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tarigo]]></surname>
<given-names><![CDATA[Nicolás]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Delgado]]></surname>
<given-names><![CDATA[Juan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Andreoli]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valiñas]]></surname>
<given-names><![CDATA[Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Clínica Quirúrgica F. Hospital de Clínicas,]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Clínica Quirúrgica F. Hospital de Clínicas,]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Clínica Quirúrgica F. Hospital de Clínicas]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Clínica Quirúrgica F. Hospital de Clínicas]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Clínica Quirúrgica F. Hospital de Clínicas]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Clínica Quirúrgica F. Hospital de Clínicas]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Clínica Quirúrgica F. Hospital de Clínicas]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>8</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-12812024000101201&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-12812024000101201&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-12812024000101201&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La incidencia de patología biliar es alta en nuestro país, en la gestación es favorecida por factores hormonales y mecánicos. Siendo la patología biliar la segunda causa de cuadro agudo de abdomen no obstétrico. El manejo de las complicaciones biliares, son de manejo diverso en nuestro hospital, sobre todo con lo referente en indicar una cirugía durante la gestación. El objetivo fue comparar la oportunidad de la colecistectomía en gestantes con patología biliar complicada en nuestro centro versus la evidencia a nivel internacional. Se realizó un estudio observacional, retrospectivo, transversal y descriptivo, en el período de 1º de enero de 2017 a 31 de diciembre de 2021, en el Hospital de Clínicas Dr. Manuel Quintela, Montevideo Uruguay. Se incluyeron 57 pacientes. Media de edad 26 años. El 81% se manifestó en el segundo y tercer trimestre. Los diagnósticos fueron: colecistitis agudas (CA) en un 28%; colangitis agudas 45.6%, pancreatitis agudas (PA) 17.5% y litiasis vesicular sintomática en 5.3%. El 47 % de las pacientes incluidas en el estudio no fueron colecistectomizadas al momento del análisis de los datos. Sólo el 30 % de gestantes fueron operadas. Conclusiones: Sólo el tercio de las gestantes son colecistectomizadas en el Hospital de Clínicas. Los trabajos coinciden en que la colecistectomía en la embarazada es segura en todos los trimestres, el tratamiento será ajustado a cada caso según experiencia del equipo y recursos del medio.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary The incidence of biliary pathology is high in our country; during pregnancy it is favored by hormonal and mechanical factors. Biliary pathology being the second cause of acute non-obstetric abdominal symptoms. The management of biliary complications is handled differently in our Hospital, especially with regard to indicating surgery during pregnancy. The objective was to compare the opportunity of cholecystectomy in pregnant women with complicated biliary pathology in our center versus the evidence at an international level. An observational, retrospective, cross-sectional and descriptive study was carried out in the period from January 1, 2017 to December 31, 2021, at the Hospital de Clínicas Dr. Manuel Quintela, Montevideo Uruguay. 57 patients were included. Average age 26 years. 81% manifested in the second and third trimester. The diagnoses were: acute cholecystitis (AC) in 28%; acute cholangitis 45.6%, acute pancreatitis (AP) 17.5% and symptomatic gallstones in 5.3%. 47% of the patients included in the study were not cholecystectomized at the time of data analysis. Only 30% of pregnant women were operated on. Conclusions: Only a third of pregnant women undergo cholecystectomy at the Hospital de Clínicas. The studies agree that cholecystectomy in pregnant women is safe in all trimesters; the treatment will be adjusted to each case according to the experience of the team and the resources of the environment.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A incidência da patologia biliar é elevada em nosso país; durante a gravidez é favorecida por fatores hormonais e mecânicos. Patologia biliar sendo a segunda causa de sintomasabdominais agudos não obstétricos. O manejo das complicações biliares é tratado de forma diferenciada em nosso Hospital, principalmente no que dizrespeito à indicaçãocirúrgica durante a gestação. O objetivo foi comparar a oportunidade de colecistectomia em mulheres grávidas compatologia biliar complicada no nosso centro versus a evidência a nível internacional. Foi realizado umestudo observacional, retrospectivo, transversal e descritivo no período de 1º de janeiro de 2017 a 31 de dezembro de 2021, no Hospital de Clínicas Dr. Manuel Quintela, MontevidéuUruguai. 57 pacientes foramincluídos. Idademédia 26 anos. 81% manifestaram-se no segundo e terceiro trimestre. Os diagnósticos foram: colecistite aguda (CA) em 28%; colangite aguda 45,6%, pancreatite aguda (PA) 17,5% e cálculos biliares sintomáticos em 5,3%. 47% dos pacientes incluídos no estudonãoestavamcolecistectomizados no momento da análise dos dados. Apenas 30% das gestantes foram operadas. Conclusões: Apenas umterço das gestantes sãosubmetidas à colecistectomia no Hospital de Clínicas. Os estudosconcordam que a colecistectomia em gestantes é segura em todos os trimestres; o tratamento será ajustado a cada caso de acordocom a experiência da equipe e os recursos do ambiente.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[colecistectomía]]></kwd>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="es"><![CDATA[colelitiasis]]></kwd>
<kwd lng="es"><![CDATA[colecistitis]]></kwd>
<kwd lng="es"><![CDATA[colangitis]]></kwd>
<kwd lng="es"><![CDATA[pancreatitis.]]></kwd>
<kwd lng="en"><![CDATA[cholecystectomy]]></kwd>
<kwd lng="en"><![CDATA[pregnancy]]></kwd>
<kwd lng="en"><![CDATA[cholelithiasis]]></kwd>
<kwd lng="en"><![CDATA[cholecystitis]]></kwd>
<kwd lng="en"><![CDATA[cholangitis]]></kwd>
<kwd lng="en"><![CDATA[pancreatitis.]]></kwd>
<kwd lng="pt"><![CDATA[colecistectomia]]></kwd>
<kwd lng="pt"><![CDATA[gravidez]]></kwd>
<kwd lng="pt"><![CDATA[colelitíase]]></kwd>
<kwd lng="pt"><![CDATA[colecistite]]></kwd>
<kwd lng="pt"><![CDATA[colangite]]></kwd>
<kwd lng="pt"><![CDATA[pancreatite.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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