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Pregnancy and Diseases of the Biliary Tree

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Diseases of the Liver and Biliary Tree
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Abstract

Pregnancy is a relevant moment in woman life and it is physiologically associated with several metabolic, hormonal, immunological, and nutritional changes that can be associated, in predisposed women, to pregnancy-related diseases. Pregnancy can also occur in women affected by preexisting chronic disease. The aim of the chapter is to highlight the relation between pregnancy and biliary disease. In particular, the chapter focuses on three main topics: (1) gallstone disease in pregnancy; (2) intrahepatic cholestasis of pregnancy; (3) pregnancy in chronic cholestatic disease, i.e., primary biliary cholangitis and primary sclerosing cholangitis, focusing on fertility, gestation, delivery, maternal and fetal outcomes.

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Abbreviations

CBD:

Common bile duct

CGD:

Complicated gallstones disease

ERCP:

Endoscopic retrograde cholangiopancreatography

EUS:

Endoscopic ultrasonography

ICP:

Intrahepatic cholestasis of pregnancy

MRC:

Magnetic resonance cholangiography

MRI:

Magnetic resonance imaging

PBC:

Primary biliary cholangitis

PSC:

Primary sclerosing cholangitis

UDCA:

Ursodeoxycholic acid

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Cazzagon, N. (2021). Pregnancy and Diseases of the Biliary Tree. In: Floreani, A. (eds) Diseases of the Liver and Biliary Tree. Springer, Cham. https://doi.org/10.1007/978-3-030-65908-0_15

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