Childbearing and Delivery in Women With Ulcerative Colitis and Ileostomy or Ileal Pouch-Anal Anastomosis.
Journal
ACG case reports journal
ISSN: 2326-3253
Titre abrégé: ACG Case Rep J
Pays: United States
ID NLM: 101638398
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
received:
02
10
2021
accepted:
21
03
2022
entrez:
29
6
2022
pubmed:
30
6
2022
medline:
30
6
2022
Statut:
epublish
Résumé
No detailed information is currently available about the management of pregnancy and delivery in patients with a stoma after colectomy for ulcerative colitis. We describe the case of a young pregnant woman with terminal ileostomy after toxic megacolon. Episodes of stoma occlusion, determined by the enlargement of the uterus, were treated with endoscopic decompression and daily assumption of oral laxatives, making possible to avoid surgery and carry pregnancy on until caesarean section was performed at week 37. Fertility issues, facing pregnancy with ileostomy rather than with ileal pouch-anal anastomosis, and choice of caesarean section rather than vaginal delivery are discussed.
Identifiants
pubmed: 35765680
doi: 10.14309/crj.0000000000000805
pii: ACGCR-21-0947
pmc: PMC9232356
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e00805Informations de copyright
© 2022 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.
Références
Cochrane Database Syst Rev. 2019 Jul 23;7:CD012711
pubmed: 31334846
Dig Dis Sci. 2014 Jun;59(6):1115-20
pubmed: 24549832
Curr Drug Targets. 2019;20(13):1356-1362
pubmed: 31465283
J Wound Ostomy Continence Nurs. 1997 May;24(3):151-62
pubmed: 9224023
Surg Gynecol Obstet. 1988 Jul;167(1):61-4
pubmed: 3381188
N Engl J Med. 1993 Dec 23;329(26):1905-11
pubmed: 8247054
Lancet. 2019 Mar 23;393(10177):1233-1239
pubmed: 30799061
BMJ Case Rep. 2014 Aug 19;2014:
pubmed: 25139926
Gastroenterology. 2016 Mar;150(3):734-757.e1
pubmed: 26688268
J Crohns Colitis. 2015 Feb;9(2):107-24
pubmed: 25602023
Therap Adv Gastroenterol. 2021 May 18;14:17562848211016242
pubmed: 34046084
Ultrasound Obstet Gynecol. 2018 May;51(5):677-683
pubmed: 28782264
Dis Colon Rectum. 2005 Sep;48(9):1691-9
pubmed: 16142432
Dis Colon Rectum. 2002 Oct;45(10):1283-8
pubmed: 12394423
Colorectal Dis. 2012 Sep;14(9):e631-2
pubmed: 22498003
Colorectal Dis. 2013 Jul;15(7):842-7
pubmed: 23398672
Dis Colon Rectum. 2007 Aug;50(8):1128-38
pubmed: 17588223
Dis Colon Rectum. 1985 Dec;28(12):912-6
pubmed: 4064849
Gastroenterology. 2020 Apr;158(5):1450-1461
pubmed: 31945371