| Topic: | digestive diseases (dd) |
| Title: | Endoscopy in Pregnancy. |
| Author: | Ahmad, A.; Frank, B.B. |
| Source: | IN: Pregnancy in Gastrointestinal Disorders. 2nd ed. Bethesda, MD: American College of Gastroenterology. 2007. pp 10-17. |
| Availability: | Available from American College of Gastroenterology. P.O. Box 342260, Bethesda, MD 20827. Website: www.gi.org. Price: Available free of charge on website. |
| Abstract: | This chapter about endoscopy in pregnancy is from a monograph that presents updated information about pregnancy in women with gastrointestinal disorders. The authors stress that the spectrum of gastrointestinal diseases in the pregnant patient is virtually identical to that in nonpregnant women. However, options for evaluating pregnant patients are somewhat limited because barium studies and other radiographic techniques subject the fetus to the risks of radiation. However, endoscopy can play a crucial role in the diagnosis and treatment of various disorders in the pregnant patient. The chapter focuses on bringing readers up to date on the research in the area covered, the recommended treatments, and patient management concerns, notably issues of maternal and fetal safety. Topics include the use of upper endoscopy for diagnosing nausea, vomiting, esophagitis, ulcers, and gastritis; the use of lower endoscopy to evaluate rectal bleeding and inflammatory bowel disease (IBD); sigmoidoscopy and colonoscopy; endoscopic retrograde cholangiopancreatography (ERCP) used to evaluate gallstones; percutaneous endoscopic gastrostomy (PEG) placement to assist patients who cannot sustain adequate nutritional intake; and the use of sedation for endoscopic tests in women who are pregnant. The authors conclude that endoscopy appears to be safe in pregnancy. They recommend that procedures be performed after the first trimester if possible, following guidelines to minimize radiation and excessive sedation. Endoscopists are encouraged to consult with an obstetrician in challenging, complicated cases. 1 table. 17 references. |
| Format: | Book Chapter |
| Language: | English. |
| Major Keywords: | Digestive System Diseases. Pregnancy. Diagnosis. Patient Care Management. Endoscopy. Diagnostic Tests. Complications. |
| Minor Keywords: | Symptoms. Patient Selection. Fetus. Drug Therapy. Drug Effects. Risk Factors. Sedation. Inflammatory Bowel Disease. Sigmoidoscopy. Colonoscopy. Endoscopic Retrograde Cholangiopancreatography. Gastrostomy. Gallstones. Esophagitis. |
| Publication Number: | DDBK10830 |
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