RT Journal Article
T1 Surgery due to Inflammatory Bowel Disease During Pregnancy: Mothers and Offspring Outcomes From an ECCO Confer Multicentre Case Series [Scar Study].
A1 Chaparro, María
A1 Kunovský, Lumír
A1 Aguas, Mariam
A1 Livne, Moran
A1 Rivière, Pauline
A1 Bar-Gil Shitrit, Ariella
A1 Myrelid, Pär
A1 Arroyo, Maite
A1 Barreiro-de Acosta, Manuel
A1 Bautista, Michelle
A1 Biancone, Livia
A1 Biron, Irit Avni
A1 Boysen, Trine
A1 Carpio, Daniel
A1 Castro, Beatriz
A1 Dragoni, Gabriele
A1 Ellul, Pierre
A1 Holubar, Stefan D
A1 de Jorge, Miguel Ángel
A1 Leo, Eduardo
A1 Manceñido, Noemí
A1 Moens, Annick
A1 Molnár, Tamás
A1 Ramírez de la Piscina, Patricia
A1 Ricanek, Petr
A1 Sebkova, Ladislava
A1 Sempere, Laura
A1 Teich, Niels
A1 Gisbert, Javier P
A1 Julsgaard, Mette
K1 Crohn’s disease
K1 Inflammatory bowel disease
K1 gestation
K1 pregnancy
K1 surgery
K1 ulcerative colitis
AB 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. 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. 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]. 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.
YR 2022
FD 2022
LK http://hdl.handle.net/10668/19758
UL http://hdl.handle.net/10668/19758
LA en
DS RISalud
RD Apr 7, 2025