Managing IBD therapy during pregnancy demands a multidisciplinary approach

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F21%3A00074346" target="_blank" >RIV/65269705:_____/21:00074346 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216224:14110/21:00121560

Výsledek na webu

<a href="https://www.prolekare.cz/casopisy/ceska-slovenska-gastro/2021-2-7/managing-ibd-therapy-during-pregnancy-demands-a-multidisciplinary-approach-127080" target="_blank" >https://www.prolekare.cz/casopisy/ceska-slovenska-gastro/2021-2-7/managing-ibd-therapy-during-pregnancy-demands-a-multidisciplinary-approach-127080</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.48095/CCGH2021149" target="_blank" >10.48095/CCGH2021149</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Managing IBD therapy during pregnancy demands a multidisciplinary approach

Popis výsledku v původním jazyce

Crohn&apos;s disease and ulcerative colitis are both chronic inflammatory bowel diseases (IBD). This article summarizes current best practice in treating pregnant patients with IBD, ranging from conservative therapy to endoscopy and imaging methods, including a description of surgical therapy indications. Female patients with IBD should ideally plan their pregnancies for when their disease is in remission. Patients in remission may also have complications during pregnancy, however the risk of complications is lower than in patients with active disease. Any chronic medications they were on before becoming pregnant (with the exception of teratogenic methotrexate) should remain unchanged. According to the current literature, pregnancy does not itself complicate the course of IBD. In cases of a severe relapse or an occurrence of complications in these patients, careful multidisciplinary cooperation is required, especially between the gastroenterologist, surgeon, radiologist, and gynaecologist. Surgical treatment is required only in cases of acute complications of IBD (such as acute severe colitis resistant to medical therapy, perianal abscess, and complications of IBD in the sense of such acute abdomen events as perforations, ileus due to a stenosis, or massive haemorrhage).

Název v anglickém jazyce

Managing IBD therapy during pregnancy demands a multidisciplinary approach

Popis výsledku anglicky

Crohn&apos;s disease and ulcerative colitis are both chronic inflammatory bowel diseases (IBD). This article summarizes current best practice in treating pregnant patients with IBD, ranging from conservative therapy to endoscopy and imaging methods, including a description of surgical therapy indications. Female patients with IBD should ideally plan their pregnancies for when their disease is in remission. Patients in remission may also have complications during pregnancy, however the risk of complications is lower than in patients with active disease. Any chronic medications they were on before becoming pregnant (with the exception of teratogenic methotrexate) should remain unchanged. According to the current literature, pregnancy does not itself complicate the course of IBD. In cases of a severe relapse or an occurrence of complications in these patients, careful multidisciplinary cooperation is required, especially between the gastroenterologist, surgeon, radiologist, and gynaecologist. Surgical treatment is required only in cases of acute complications of IBD (such as acute severe colitis resistant to medical therapy, perianal abscess, and complications of IBD in the sense of such acute abdomen events as perforations, ileus due to a stenosis, or massive haemorrhage).

Druh

J_SC - Článek v periodiku v databázi SCOPUS

CEP obor

—

OECD FORD obor

30219 - Gastroenterology and hepatology

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2021

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Gastroenterologie a hepatologie

ISSN

1804-7874

e-ISSN

—

Svazek periodika

75

Číslo periodika v rámci svazku

2

Stát vydavatele periodika

CZ - Česká republika

Počet stran výsledku

10

Strana od-do

149-158

Kód UT WoS článku

—

EID výsledku v databázi Scopus

2-s2.0-85106266266