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Endoscopy in pregnancy.

Seamus O'mahony1

  • 1Cork University Hospital, Cork, Ireland. seamus.omahony@mailp.hse.ie

Best Practice & Research. Clinical Gastroenterology
|September 25, 2007
PubMed
Summary
This summary is machine-generated.

Endoscopy during pregnancy is generally safe when medically necessary, with minimal sedation and radiation. Procedures should be deferred to the second trimester when possible, prioritizing maternal and fetal well-being.

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Area of Science:

  • Gastroenterology
  • Obstetrics
  • Medical Imaging

Background:

  • Endoscopic procedures are infrequently needed during pregnancy.
  • Potential risks include fetal hypoxia from sedatives and radiation exposure.

Purpose of the Study:

  • To evaluate the safety and indications of endoscopic procedures during pregnancy.
  • To provide guidelines for managing pregnant patients requiring endoscopy.

Main Methods:

  • Review of existing literature on endoscopy in pregnancy.
  • Analysis of risks associated with sedation and radiation.
  • Identification of specific indications for gastroscopy, sigmoidoscopy, colonoscopy, and ERCP.

Main Results:

  • Endoscopy during pregnancy is generally safe, with no evidence of increased premature labor.

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  • Careful use of minimal sedation (e.g., midazolam) and minimized radiation exposure are crucial.
  • Specific indications include upper GI bleeding, dysphagia, uncontrolled nausea/vomiting, rectal bleeding, diarrhea, choledocholithiasis, and biliary pancreatitis.

    • Conclusions:

    • Endoscopy can be safely performed in pregnancy under strict guidelines.
    • Deferral to the second trimester and minimizing sedation/radiation are recommended.
    • Collaboration with obstetrics and anesthesia specialists is essential for optimal patient care.