Achalasia During Pregnancy: Proposed Management Algorithm Based on a Thorough Literature Review.
Disease management
Esophageal achalasia
Pregnancy
Journal
Journal of neurogastroenterology and motility
ISSN: 2093-0879
Titre abrégé: J Neurogastroenterol Motil
Pays: Korea (South)
ID NLM: 101530189
Informations de publication
Date de publication:
30 Jan 2021
30 Jan 2021
Historique:
received:
13
08
2020
revised:
30
09
2020
accepted:
10
11
2020
entrez:
31
12
2020
pubmed:
1
1
2021
medline:
1
1
2021
Statut:
ppublish
Résumé
Fewer than 40 cases of achalasia occurring in pregnant woman have been reported in the literature. Given the rarity of achalasia during pregnancy, and the numerous treatment options that are available for achalasia in general, no guidelines exist for the management of achalasia during pregnancy. Diagnosis of new cases may be difficult as symptoms and physiological changes that occur during pregnancy may obscure the clinical presentation of achalasia. The management of achalasia in pregnancy is also challenging. Treatment decisions should be individualized for each case, considering both the welfare of the mother and the fetus. Since pregnant women suffering from achalasia represent a diagnostic and therapeutic challenge with complex maternal-fetal aspects to consider, we have reviewed the available literature on the subject and summarized current diagnostic and therapeutic options. Additionally, we present a management algorithm as a means to guide treatment of future cases. We recommend that a conservative approach should be adopted with bridging therapies performed until after delivery when definitive treatment of achalasia can be more safely performed.
Identifiants
pubmed: 33380552
pii: jnm20181
doi: 10.5056/jnm20181
pmc: PMC7786086
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
8-18Références
Gastroenterology. 2000 Feb;118(2):253-7
pubmed: 10648452
J Obstet Gynaecol. 2019 Oct;39(7):1032-1033
pubmed: 31195866
Forensic Sci Int. 1995 Oct 30;75(2-3):133-7
pubmed: 8586336
J Laparoendosc Adv Surg Tech A. 2020 Jul 13;:
pubmed: 32668169
Am J Obstet Gynecol. 1963 Aug 15;86:1074-8
pubmed: 14056155
Mov Disord. 2004 Nov;19(11):1384-5
pubmed: 15389988
Can Fam Physician. 1993 May;39:1182-4, 1186
pubmed: 8499797
Br J Obstet Gynaecol. 1987 Sep;94(9):855-9
pubmed: 3663547
Eur Radiol. 2009 Aug;19(8):1973-80
pubmed: 19296113
J Perinatol. 2009 Sep;29(9):637-9
pubmed: 19710656
Gastrointest Endosc. 2009 Apr;69(4):980
pubmed: 19327492
Nutr Clin Pract. 1990 Aug;5(4):139-52
pubmed: 2117234
J Laparoendosc Adv Surg Tech A. 2007 Apr;17(2):186-90
pubmed: 17484645
Am J Gastroenterol. 2010 Feb;105(2):258-73; quiz 274
pubmed: 20029413
Case Rep Surg. 2015;2015:328970
pubmed: 26229704
Obstet Gynecol. 1992 May;79(5 ( Pt 2)):812-4
pubmed: 1565374
Gastrointest Endosc. 1997 Jan;45(1):77-9
pubmed: 9013174
Rev Gastroenterol Peru. 2019 Jan-Mar;39(1):70-73
pubmed: 31042239
J Clin Gastroenterol. 1998 Jul;27(1):21-35
pubmed: 9706766
Obstet Gynecol. 1996 Sep;88(3):343-6
pubmed: 8752236
Am J Surg. 2010 Sep;200(3):363-7
pubmed: 20800715
World J Gastroenterol. 2010 Oct 28;16(40):5111-7
pubmed: 20976849
Gastrointest Endosc. 1997 May;45(5):349-53
pubmed: 9165313
J Obstet Gynaecol. 2007 Aug;27(6):622-3
pubmed: 17896269
N Engl J Med. 2011 May 12;364(19):1807-16
pubmed: 21561346
Am J Obstet Gynecol. 1956 Nov;72(5):1137-42
pubmed: 13362429
World J Gastroenterol. 2016 Sep 21;22(35):7892-907
pubmed: 27672286
Obstet Gynecol. 2016 Feb;127(2):418
pubmed: 26942384
Arch Gynecol Obstet. 2018 Sep;298(3):511-519
pubmed: 29931525
Eur J Gastroenterol Hepatol. 2016 Jun;28(6):689-95
pubmed: 26882171
Am J Perinatol. 2000;17(1):53-5
pubmed: 10928605
Can Fam Physician. 2013 Nov;59(11):1183-4
pubmed: 24235190
Nat Rev Gastroenterol Hepatol. 2011 Oct 04;8(11):610-34
pubmed: 21970872
Obstet Gynecol. 1969 Jan;33(1):106-13
pubmed: 5773857
Clin Gastroenterol Hepatol. 2006 May;4(5):580-7
pubmed: 16630776
Surg Laparosc Endosc Percutan Tech. 2012 Aug;22(4):289-96
pubmed: 22874676
Indian J Gastroenterol. 1997 Apr;16(2):72-3
pubmed: 9114583
Tidsskr Nor Laegeforen. 2010 Nov 18;130(22):2241
pubmed: 21109845
Gastrointest Endosc. 1993 Nov-Dec;39(6):810-2
pubmed: 8293906
J Family Med Prim Care. 2019 Jan;8(1):289-297
pubmed: 30911523
Am J Gastroenterol. 2020 Sep;115(9):1393-1411
pubmed: 32773454
Ann Acad Med Singap. 2008 May;37(5):442-3
pubmed: 18536838
J Matern Fetal Neonatal Med. 2014 Jul;27(11):1146-50
pubmed: 24093458
Esophagus. 2020 Jan;17(1):11-18
pubmed: 31606768
J Reprod Med. 2004 Jul;49(7):497-502
pubmed: 15305820
Acta Obstet Gynecol Scand. 1964;43:19-27
pubmed: 14157526
Curr Gastroenterol Rep. 2014 Dec;16(12):420
pubmed: 25543338
J Reprod Med. 2016 Nov-Dec;61(11-12):615-7
pubmed: 30230292
ISRN Gastroenterol. 2011;2011:871958
pubmed: 21991532
Am J Gastroenterol. 1999 Dec;94(12):3406-12
pubmed: 10606295
World J Gastrointest Endosc. 2014 May 16;6(5):156-67
pubmed: 24891928
JPEN J Parenter Enteral Nutr. 1998 Jul-Aug;22(4):238-41
pubmed: 9661126
Nutrition. 1998 Oct;14(10):806-8
pubmed: 9785367
J Neurogastroenterol Motil. 2016 Jan 31;22(1):14-24
pubmed: 26717928
Obstet Gynecol. 1999 Nov;94(5 Pt 2):850
pubmed: 10546761
Minerva Anestesiol. 2007 Apr;73(4):235-40
pubmed: 17473818
Am J Obstet Gynecol. 1978 Oct 1;132(3):260-4
pubmed: 707565
Dig Liver Dis. 2008 Jul;40(7):600-1
pubmed: 18400570
Case Rep Obstet Gynecol. 2013;2013:639698
pubmed: 23365774
Ir Med J. 2016 Dec 12;109(10):489
pubmed: 28644594
Expert Opin Drug Saf. 2020 Jan;19(1):83-91
pubmed: 31868020
Gastroenterology. 2001 Oct;121(4):966-9
pubmed: 11606511
Fetal Diagn Ther. 1998 May-Jun;13(3):136-40
pubmed: 9708433