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  • Chaparro, MariaUAM, Spain; Ctr Invest Biomed Red Enfermedades Hepat & Digest, Spain (author)

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

  • Article/chapterEnglish2022

Publisher, publication year, extent ...

  • 2022-04-04
  • Oxford, United Kingdom :Oxford University Press,2022
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:liu-185376
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-185376URI
  • https://doi.org/10.1093/ecco-jcc/jjac050DOI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • 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 Crohns 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.

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Added entries (persons, corporate bodies, meetings, titles ...)

  • Kunovsky, LumirMasaryk Univ, Czech Republic (author)
  • Aguas, MariamHosp Univ & Politecn La Fe, Spain; CIBERehd, Spain (author)
  • Livne, MoranSheba Med Ctr, Israel (author)
  • Riviere, PaulineBordeaux Univ Hosp, France (author)
  • Shitrit, Ariella Bar-GilHebrew Univ Jerusalem, Israel; Hebrew Univ Jerusalem, Israel (author)
  • Myrelid, Pär,1970-Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Kirurgiska kliniken US(Swepub:liu)parmy24 (author)
  • Arroyo, MaiteHosp Clin Univ Lozano Blesa, Spain; IIS Aragon, Spain (author)
  • Barreiro-de Acosta, ManuelComplejo Hosp Univ Santiago, Spain (author)
  • Bautista, MichelleHosp Joan 23, Spain (author)
  • Biancone, LiviaUniv Roma Tor Vergata, Italy (author)
  • Biron, Irit AvniRabin Med Ctr, Israel (author)
  • Boysen, TrineHvidovre Univ Hosp, Denmark (author)
  • Carpio, DanielComplexo Hosp Univ Pontevedra, Spain (author)
  • Castro, BeatrizHosp Univ Marques de Valdecilla, Spain; IDIVAL, Spain (author)
  • Dragoni, GabrieleCareggi Univ Hosp, Italy (author)
  • Ellul, PierreMater Dei Hosp, Malta (author)
  • Holubar, Stefan D.Cleveland Clin Fdn, OH 44195 USA (author)
  • Angel de Jorge, MiguelHosp Cabuenes, Spain (author)
  • Leo, EduardoHosp Univ Virgen del Rocio, Spain (author)
  • Mancenido, NoemiHosp Univ Infanta Sofia, Spain (author)
  • Moens, AnnickUniv Hosp Leuven, Belgium (author)
  • Molnar, TamasUniv Szeged, Hungary (author)
  • Ramirez de la Piscina, PatriciaHosp Univ Araba, Spain; Hosp Univ Araba, Spain (author)
  • Ricanek, PetrAkershus Univ Sykehus, Norway (author)
  • Sebkova, LadislavaAzienda Osped Pugliese Ciaccio, Italy (author)
  • Sempere, LauraDr Balmis Gen Univ Hosp, Spain (author)
  • Teich, NielsPractice for Internal Medicine, Leipzig, Germany (author)
  • Gisbert, Javier P.UAM, Spain; Ctr Invest Biomed Red Enfermedades Hepat & Digest, Spain (author)
  • Julsgaard, MetteAarhus Univ Hosp, Denmark (author)
  • UAM, Spain; Ctr Invest Biomed Red Enfermedades Hepat & Digest, SpainMasaryk Univ, Czech Republic (creator_code:org_t)

Related titles

  • In:Journal of Crohn's & ColitisOxford, United Kingdom : Oxford University Press16:9, s. 1428-14351873-99461876-4479

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