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External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
ERCP in pregnancy: is it safe?
Adel Y Daas1, Amir Agha, Haim Pinkas
1Drs. Daas and Agha are also affiliated with the University of South Florida College of Medicine.
Gastroenterology & Hepatology
|June 23, 2010
Summary
Therapeutic endoscopic retrograde cholangiopancreatography (ERCP) during pregnancy is safe. This study found no maternal or fetal complications in 17 procedures, highlighting the safety of ERCP in experienced hands.
Area of Science:
- Gastroenterology
- Obstetrics
- Perinatology
Background:
- Pancreaticobiliary disease during pregnancy presents significant maternal and fetal risks.
- Limited data exist on the safety of endoscopic retrograde cholangiopancreatography (ERCP) in pregnant patients.
Purpose of the Study:
- To evaluate the safety and outcomes of therapeutic ERCP performed during pregnancy.
- To assess maternal and fetal complications associated with ERCP in this specific patient population.
Main Methods:
- Retrospective review of 17 ERCP procedures conducted between January 2005 and April 2009.
- Analysis of ERCP indications, interventions, fluoroscopy use, and post-procedure complications.
- Evaluation of pregnancy outcomes, including Apgar scores and 30-day follow-up.
Main Results:
- No immediate or follow-up maternal adverse events were observed.
- No fetal distress or complications were noted during procedures, delivery, or 30-day follow-up.
- All 17 ERCP procedures were successfully completed without adverse outcomes.
Conclusions:
- Therapeutic ERCP can be safely performed in pregnant patients.
- Judicious use of fluoroscopy and performance by experienced endoscopists are key to ensuring safety.
- ERCP is a viable option for managing pancreaticobiliary conditions during pregnancy.
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