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Published on: February 19, 2022
Surgical gastrointestinal disorders during pregnancy
Sareh Parangi1, Deborah Levine, Antonia Henry
1Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA. sparangi@bidmc.harvard.edu
American Journal of Surgery
|January 24, 2007
Summary
Pregnant women may require non-obstetrical general surgery for gastrointestinal (GI) disorders. Prioritizing maternal health is crucial, as effective treatment benefits both mother and fetus.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Obstetrics
Background:
- Gastrointestinal (GI) disorders are common during pregnancy.
- 0.2% to 1.0% of pregnant women need non-obstetrical general surgery.
- Diagnosing and treating surgical abdominal issues in pregnant patients presents unique challenges.
Purpose of the Study:
- To review the principles of diagnosing and treating pregnant patients with GI disorders requiring surgery.
- To highlight the differences in managing surgical GI conditions in pregnant versus non-pregnant patients.
- To emphasize the importance of prioritizing maternal health in surgical decision-making.
Main Methods:
- Literature review of non-obstetrical general surgery in pregnancy.
- Analysis of diagnostic and therapeutic decision-making processes.
- Comparison of management strategies in pregnant and non-pregnant patients.
Main Results:
- Surgical decision-making requires experienced clinical judgment in pregnant patients.
- While general principles are similar, specific differences exist in managing GI surgical emergencies during pregnancy.
- Maternal condition management is paramount and generally benefits fetal well-being.
Conclusions:
- Effective management of GI disorders in pregnant women necessitates careful consideration of both maternal and fetal outcomes.
- Prioritizing the mother's health is the standard approach for optimal outcomes.
- Experienced surgical judgment is key to successful therapeutic decisions.
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