Document Detail

Surgical treatment of inflammatory bowel diseases and pregnancy.
MedLine Citation:
PMID:  17889810     Owner:  NLM     Status:  MEDLINE    
Ulcerative colitis (UC) and Crohn's disease (CD) affect women of reproductive age. Surgical intervention is often required. Therefore, the implications of disease treatment and pregnancy need to be understood. The standard surgery for UC is proctocolectomy, followed by ileal pouch anal anastomosis (IPAA). This review summarises the literature describing the effects of IPAA on gynaecologic and sexual health, fertility, pregnancy, labour and delivery. The emerging role of laparoscopic IPAA and the limited role of ileo-rectal anastomosis (IRA) are discussed. The experience with emergency surgery in pregnant women with ulcerative colitis is also presented. The literature explores two key issues of pregnancy in CD: the possible effect of pregnancy decreasing resection rates, and the optimal mode of delivery, especially in the setting of perianal CD. These two issues together with the available literature describing stoma function during pregnancy and the foetal outcome after surgical therapy are presented.
Alexandra Ilnyckyj
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Best practice & research. Clinical gastroenterology     Volume:  21     ISSN:  1521-6918     ISO Abbreviation:  Best Pract Res Clin Gastroenterol     Publication Date:  2007  
Date Detail:
Created Date:  2007-09-24     Completed Date:  2008-08-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101120605     Medline TA:  Best Pract Res Clin Gastroenterol     Country:  England    
Other Details:
Languages:  eng     Pagination:  819-34     Citation Subset:  IM    
Section of Gastroenterology, Faculty of Medicine, University of Manitoba, 409 Tache Avenue, Winnipeg, MB R2H 2A6, Canada.
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MeSH Terms
Anal Canal / surgery
Anastomosis, Surgical
Colonic Pouches
Delivery, Obstetric
Ileum / surgery
Infertility / epidemiology
Inflammatory Bowel Diseases / epidemiology,  surgery*
Pregnancy Complications / surgery*
Proctocolectomy, Restorative / methods

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