Upper and Lower Endoscopy for Gastrointestinal (GI) Bleeding in Pregnancy View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2018-10-30

AUTHORS

Atoosa Rabiee , Baharak Moshiree

ABSTRACT

Each year, more than 12,000 US pregnant women are in need of upper endoscopy, and around 6000 have conditions that may require lower endoscopy for evaluation. Despite this large number of endoscopic procedures performed in the USA in pregnant women, research in this area is limited, and the safety of their performance needs further review. Of note, the spectrum of gastrointestinal disease in the pregnant patient is very similar to that in nonpregnant women, but common causes of gastrointestinal bleeding (GIB) in the acute setting may be different. In general, gastroenterologists and obstetricians agree that endoscopic procedures during pregnancy should be performed with great caution and with weighing of risks and potential benefits given their risk of maternal hypoxemia and hypotension resulting in harm to the mother as well as fetal hypoxia and even fetal death. This risk involves both the procedure itself and the risk of the actual sedatives required during the various endoscopic procedures as we outline below. Other risks include but are not limited to intrauterine exposure of the fetus to radiation with risk of premature birth, malformations, mutations, and even intrauterine fetal death. Despite the risk of endoscopic procedures, however, there are instances where various endoscopic therapies and procedures are indicated, and these are discussed in the chapter and categorized by type of procedure performed by gastroenterologists. More... »

PAGES

155-164

References to SciGraph publications

  • 2016-02. ACG Clinical Guideline: Liver Disease and Pregnancy in THE AMERICAN JOURNAL OF GASTROENTEROLOGY
  • 2009-06. The Safety of Proton Pump Inhibitors (PPIs) in Pregnancy: A Meta-Analysis in THE AMERICAN JOURNAL OF GASTROENTEROLOGY
  • Book

    TITLE

    Non-Obstetric Surgery During Pregnancy

    ISBN

    978-3-319-90751-2
    978-3-319-90752-9

    Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/978-3-319-90752-9_12

    DOI

    http://dx.doi.org/10.1007/978-3-319-90752-9_12

    DIMENSIONS

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