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Surgery due to Inflammatory Bowel Disease During Pregnancy: Mothers and Offspring Outcomes From an ECCO Confer Multicentre Case Series [Scar Study]

Fecha de publicación: Fecha Ahead of Print:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Chaparro, Maria
  • Kunovsky, Lumir
  • Livne, Moran
  • Riviere, Pauline
  • Shitrit, Ariella Bar-Gil
  • Myrelid, Par
  • Arroyo, Maite
  • Barreiro-de Acosta, Manuel
  • Bautista, Michelle
  • Biancone, Livia
  • Biron, Irit Avni
  • Boysen, Trine
  • Carpio, Daniel
  • Castro, Beatriz
  • Dragoni, Gabriele
  • Ellul, Pierre
  • Holubar, Stefan D.
  • Angel de Jorge, Miguel
  • Leo, Eduardo
  • Mancenido, Noemi
  • Moens, Annick
  • Molnar, Tamas
  • Ramirez de la Piscina, Patricia
  • Ricanek, Petr
  • Sebkova, Ladislava
  • Sempere, Laura
  • Teich, Niels
  • Gisbert, Javier P.
  • Julsgaard, Mette
  • ECCO CONFERTaskforce

Grupos

Abstract

AIMS: i) To evaluate the evolution of pregnancies and offspring after inflammatory bowel disease (IBD) surgery during pregnancy; and ii) to describe the indications, the surgical techniques, and the frequency of caesarean section concomitant to surgery. METHODS: Patients operated on due to IBD during pregnancy after 1998 were included. Participating clinicians were asked to review their databases to identify cases. Data on patients' demographics, IBD characteristics, medical treatments, IBD activity, pregnancy outcomes, surgery, delivery, foetal and maternal outcomes, were recorded. RESULTS: Forty-four IBD patients were included, 75% had Crohn's disease. Eighteen percent of the surgeries were performed in the 1 st trimester, 55% in the 2 nd, and 27% in the 3 rd trimester. One patient had complications during surgery, and 27% had postsurgical complications. No patient died. Seventy percent of deliveries were carried out by caesarean section. There were 40 newborns alive and 4 miscarriages/stillbirths (1 in the 1 st, 2 in the 2 nd, and 1 in the 3 rd trimester): 2 occurred during surgery, and another 2 occurred 2 weeks after surgery. Fourteen percent of the surgeries during the 2 nd trimester and 64% of those in the 3 rd trimester ended up with a simultaneous cesarean section or vaginal delivery. Of the 40 newborns, 61% were premature, and 47% had low birth weight; 42% of newborns needed hospitalisation (25% in the intensive care unit). CONCLUSIONS: IBD surgery during pregnancy remains an extremely serious situation. Therefore, surgical management should be performed in a multidisciplinary team, involving gastroenterologists, colorectal surgeons, obstetricians and neonatal specialists.

© The Author(s) 2022. Published by Oxford University Press on behalf of European Crohn’s and Colitis Organisation. All rights reserved. For permissions, please email: journals.permissions@oup.com.

Datos de la publicación

ISSN/ISSNe:
1873-9946, 1876-4479

Journal of Crohns & Colitis  OXFORD UNIV PRESS

Tipo:
Article
Páginas:
1428-1435
PubMed:
35380641
Factor de Impacto:
2,429 SCImago ℠
Cuartil:
Q1 SCImago ℠

Citas Recibidas en Web of Science: 18

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Keywords

  • Crohn’s disease; Inflammatory bowel disease; gestation; pregnancy; surgery; ulcerative colitis

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