J 2022

Surgery due to Inflammatory Bowel Disease During Pregnancy: Mothers and Offspring Outcomes From an ECCO Confer Multicentre Case Series [Scar Study]

CHAPARRO, Maria, Lumír KUNOVSKÝ, Mariam AGUAS, Moran LIVNE, Pauline RIVIERE et. al.

Základní údaje

Originální název

Surgery due to Inflammatory Bowel Disease During Pregnancy: Mothers and Offspring Outcomes From an ECCO Confer Multicentre Case Series [Scar Study]

Autoři

CHAPARRO, Maria (garant), Lumír KUNOVSKÝ (203 Česká republika, domácí), Mariam AGUAS, Moran LIVNE, Pauline RIVIERE, Ariella Bar-Gil SHITRIT, Par MYRELID, Maite ARROYO, Acosta Manuel BARREIRO-DE, Michelle BAUTISTA, Livia BIANCONE, Irit Avni BIRON, Trine BOYSEN, Daniel CARPIO, Beatriz CASTRO, Gabriele DRAGONI, Pierre ELLUL, Stefan D HOLUBAR, Angel de Jorge MIGUEL, Eduardo LEO, Noemi MANCENIDO, Annick MOENS, Tamas MOLNAR, Ramirez de la Piscina PATRICIA, Petr RICANEK, Ladislava SEBKOVA, Laura SEMPERE, Niels TEICH, Javier P GISBERT a Mette JULSGAARD

Vydání

JOURNAL OF CROHNS & COLITIS, OXFORD, OXFORD UNIV PRESS, 2022, 1873-9946

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30219 Gastroenterology and hepatology

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 8.000

Kód RIV

RIV/00216224:14110/22:00126644

Organizační jednotka

Lékařská fakulta

UT WoS

000796675700001

Klíčová slova anglicky

Inflammatory bowel disease; Crohn's disease; ulcerative colitis; pregnancy; gestation; surgery

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 14. 3. 2023 12:35, Mgr. Tereza Miškechová

Anotace

V originále

Aims i] To evaluate the evolution of pregnancies and offspring after inflammatory bowel disease [IBD] surgery during pregnancy; and ii] to describe the indications, the surgical techniques, and the frequency of caesarean section concomitant with surgery. Methods Patients operated on due to IBD during pregnancy after 1998 were included. Participating clinicians were asked to review their databases to identify cases. Data on patients' demographics, IBD characteristics, medical treatments, IBD activity, pregnancy outcomes, surgery, delivery, and foetal and maternal outcomes, were recorded. Results In all, 44 IBD patients were included, of whom 75% had Crohn's disease; 18% of the surgeries were performed in the first trimester, 55% in the second, and 27% in the third trimester. One patient had complications during surgery, and 27% had postsurgical complications. No patient died. Of deliveries, 70% were carried out by caesarean section. There were 40 newborns alive. There were four miscarriages/stillbirths [one in the first, two in the second, and one in the third trimester]; two occurred during surgery, and another two occurred 2 weeks after surgery; 14% of the surgeries during the second trimester and 64% of those in the third trimester ended up with a simultaneous caesarean section or vaginal delivery. Of the 40 newborns, 61% were premature and 47% had low birth weight; 42% of newborns needed hospitalisation [25% in the intensive care unit]. Conclusions IBD surgery during pregnancy remains an extremely serious situation. Therefore, surgical management should be performed in a multidisciplinary team, involving gastroenterologists, colorectal surgeons, obstetricians, and neonatal specialists.