Effectiveness of ursodeoxycholic acid for the treatment of gall bladder stones and sludge in pregnant women (p.593-6)

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Ahmet Okus¹, Yusuf Tanrikulu², Kazim Gemici³, Husnu Alptekin⁴, Baris Sevinc⁵

¹Department of General Surgery, Konya Medicana Hospital, Konya, Turkey
²Department of General Surgery, KTO Karatay University, Faculty of Medicine, Konya, Turkey
³Department of General Surgery, Medova Hospital, Konya, Turkey
⁴Department of Gynecology and Obstetrics, Konya Medicana Hospital, Konya, Turkey
⁵Department of General Surgery, Usak University, Faculty of Medicine, Usak, Turkey

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Abstract

Aim: The objective of this study is to evaluate the effectiveness of ursodeoxycholic acid (UDCA) for the treatment of symptomatic pregnant women with gall bladder stones and/or sludge.
Material and Methods: Gynecology and obstetrics clinic patients who were symptomatic with gallbladder stones and/or microlithiasis were included in the study. Group 1 consisted of cases with conservative treatment and group 2 consisted of cases with UDCA treatment. After treatment, the groups were compared for symptomatic and radiological relief and hospitalization.
Results: For group 2, the mean treatment time with UDCA was 7.6 weeks. After treatment, a full cure was achieved in 28% of cases and symptomatic relief was achieved in 36% of cases. In group one; there was response to treatment in only 12% of cases. In the UDCA group, none of the patients needed hospitalization; however, in the conservative treatment group, five cases needed hospitalization.
Conclusion: UDCA is effective for the treatment of symptomatic gall bladder disease in pregnancy. It both relieves symptoms and decreases the need for hospitalization.

Keywords: Gall bladder; gallstone; pregnancy; sludge; ursodeoxycholic acid

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