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Educación Médica Continua Preguntas: Enero de 2026
1Minneapolis VA Medical Center, Minneapolis, Minnesota, USA.
The American journal of gastroenterology
|February 4, 2026
Resumen
Esta declaración de consenso global proporciona orientación basada en evidencia para el manejo de la enfermedad inflamatoria intestinal (EII) durante el embarazo. Su objetivo es optimizar los resultados maternos y fetales para las mujeres con EII. Palabras clave: enfermedad inflamatoria intestinal, EII, manejo del embarazo, consenso global.
Área de la Ciencia:
- Gastroenterología y Hepatología; Obstetricia y Ginecología; Medicina Reproductiva
Sus antecedentes:
- La enfermedad inflamatoria intestinal (EII) afecta a mujeres en edad reproductiva.
- El manejo durante el embarazo requiere una cuidadosa consideración de la actividad de la enfermedad y la seguridad del tratamiento.
- La falta de directrices estandarizadas plantea desafíos para los médicos.
Objetivo del estudio:
- Establecer un consenso global sobre el manejo óptimo de la EII en pacientes embarazadas.
- Proporcionar recomendaciones basadas en evidencia para el asesoramiento preconcepcional, el tratamiento y la atención posparto.
- Mejorar los resultados para madres e infantes afectados por la EII.
Principales métodos:
- Revisión sistemática de la literatura y metaanálisis de estudios existentes.
- Metodología Delphi que involucra a expertos internacionales en EII y medicina materno-fetal.
- Desarrollo de recomendaciones basadas en consenso y directrices clínicas.
Principales resultados:
- Las recomendaciones cubren el asesoramiento preconcepcional, la seguridad de los medicamentos (biológicos, terapias convencionales) y el manejo de la enfermedad activa.
- Énfasis en la toma de decisiones compartida entre pacientes y proveedores de atención médica.
- Orientación sobre el seguimiento de la actividad de la enfermedad y el bienestar fetal durante todo el embarazo.
Conclusiones:
- Un enfoque unificado para el manejo de la EII en el embarazo es crucial para optimizar la atención al paciente.
- Estas directrices ofrecen un marco para la toma de decisiones basada en evidencia.
- Se necesita investigación continua para refinar aún más las estrategias de manejo.
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