Document Detail


Short bowel syndrome causing bleeding diathesis and profound vitamin deficiency in pregnancy.
MedLine Citation:
PMID:  23344400     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: : Extensive bowel resection may lead to a state of inadequate nutrient absorption and malnutrition known as short bowel syndrome. Deficiencies in fat-soluble vitamins may occur from this condition, with sequelae such as a bleeding diathesis. Maternal vitamin deficiencies also have been associated with fetal anomalies.
CASE: : A young gravid patient with a history of neonatal bowel resection presented with bleeding diathesis. She subsequently was found to have profound vitamin deficiencies and delivered a newborn with multiple anomalies.
CONCLUSION: : Preconceptional counseling, nutritional status evaluation, and concomitant management with a gastroenterologist are essential to optimize pregnancy outcome for patients with a history of extensive bowel resection.
Authors:
Shannon Grabosch; Jenny Pennycook; Ali Pakravan; Dorothea Mostello
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  121     ISSN:  1873-233X     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  434-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics, Gynecology, and Women's Health, the Division of Maternal-Fetal Medicine, and the Department of Internal Medicine, Division of Gastroenterology and Hepatology, St. Louis University, St. Louis, Missouri.
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