| Safety and efficacy of ERCP in pregnancy. | |
| | |
MedLine Citation:
|
PMID: 15278066 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Choledocholithiasis during pregnancy increases the risk of morbidity and mortality for both fetus and mother because of cholangitis and pancreatitis. ERCP has been advocated as safe and effective in pregnant women, but fetal radiation exposure is not routinely monitored. The aim of this study was to record fetal exposure to ionizing radiation during ERCP and to assess outcome. METHODS: Seventeen ERCPs were performed in pregnant women between January 1995 and August 2003. Techniques to minimize fluoroscopy were used, and fluoroscopy times were recorded. Thermoluminescent dosimeters affixed to the skin of the mother were used to estimate fetal radiation exposure. OBSERVATIONS: Mean gestational age was 18.6 (8.9) weeks (range 5-33 weeks). Mean fluoroscopy time was 14 (13) seconds (range 1-48 seconds). Estimated fetal radiation exposure was 40 (46) mrad (range 1-180 mrad). There was a correlation between fluoroscopy time and radiation exposure, but there was a wide range of radiation exposure for individual fluoroscopy times. Complications included post-sphincterotomy bleeding in one patient (controlled by hemoclip placement) and post-ERCP pancreatitis in one patient that necessitated 3 days of hospitalization. Two women developed third-trimester preeclampsia, and labor was induced in both. Thirteen of the 15 patients who delivered were contacted and they confirmed that their child was in good health. CONCLUSIONS: ERCP with modified techniques is safe during pregnancy. Dosimetry should be routinely recorded. |
| | |
Authors:
|
Michel Kahaleh; Gary D Hartwell; Kristen O Arseneau; Thomas N Pajewski; Tarun Mullick; Gulkan Isin; Suresh Agarwal; Paul Yeaton |
Related Documents
:
|
2435106 - Detection of early zone 3 liver fibrosis in chronic alcoholics. a comparison of four co... 1884576 - Current working practices during pregnancy in british radiologists. 3392596 - Influence of ethanol consumption on maternal-fetal transfer of zinc in pregnant rats on... 10697106 - Communicating with the family: the risks of medical radiation to conceptuses in victims... 7789586 - The results of in vitro fertilization-embryo transfer in couples with unexplained infer... 6431676 - Peptide contraception in women. inhibition of ovulation by chronic intranasal lrh agoni... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Gastrointestinal endoscopy Volume: 60 ISSN: 0016-5107 ISO Abbreviation: Gastrointest. Endosc. Publication Date: 2004 Aug |
Date Detail:
|
Created Date: 2004-07-27 Completed Date: 2004-11-09 Revised Date: 2005-07-19 |
Medline Journal Info:
|
Nlm Unique ID: 0010505 Medline TA: Gastrointest Endosc Country: United States |
Other Details:
|
Languages: eng Pagination: 287-92 Citation Subset: IM |
Affiliation:
|
Digestive Health Center, Radiation Oncology Physics, Department of Anesthesiology, University of Virginia Health System, Charlottesville, VA 22908, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Cholangiopancreatography, Endoscopic Retrograde* Choledocholithiasis / radiography* Female Fetus / radiation effects* Fluoroscopy Humans Pregnancy Pregnancy Complications / radiography* Pregnancy Outcome* Radiation Dosage Retrospective Studies |
| Comments/Corrections | |
Comment In:
|
Gastrointest Endosc. 2005 Feb;61(2):352-3; author reply 353
[PMID:
15729268
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Initial evaluation of a duodenoscope modified to allow guidewire fixation during ERCP.
Next Document: EUS-guided FNA of lung masses adjacent to or abutting the esophagus after unrevealing CT-guided biop...