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Gastrointestinal Conditions during Pregnancy
Sherri A Longo1, Robert C Moore, Bernard J Canzoneri
1Department of Obstetrics and Gynecology, Section of Maternal-Fetal Medicine, Ochsner Clinic Foundation, New Orleans, Louisiana.
Clinics in Colon and Rectal Surgery
|June 2, 2011
Summary
Pregnancy alters the gastrointestinal tract, complicating the diagnosis and treatment of conditions like Crohn disease. A multidisciplinary approach is crucial for managing pregnant patients with intestinal diseases to ensure maternal and fetal well-being.
Area of Science:
- Gastroenterology
- Obstetrics
- Radiology
Background:
- Pregnancy induces significant anatomical and physiological gastrointestinal changes.
- Managing gastrointestinal diseases during pregnancy presents unique diagnostic and therapeutic challenges due to potential fetal risks.
Purpose of the Study:
- To review gastrointestinal conditions commonly encountered during pregnancy.
- To address the presentation, diagnosis, and treatment of these conditions in pregnant patients.
Main Methods:
- Review of existing literature on gastrointestinal diseases in pregnancy.
- Discussion of diagnostic imaging and treatment modalities considering fetal safety.
Main Results:
- Physician awareness is critical for prompt diagnosis of conditions like appendicitis, diverticulitis, and colorectal cancer.
- Standard diagnostic and treatment protocols may require modification due to teratogenic potential.
Conclusions:
- A multidisciplinary approach involving gastroenterologists, obstetricians, and radiologists is essential.
- Careful consideration of maternal and fetal risks is paramount in managing gastrointestinal disorders during pregnancy.
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