Inflammatory Bowel Disease in Pregnancy

2007 ◽  
pp. 593-609
Author(s):  
Sunanda Kane
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Inflammatory Bowel ◽  
In Pregnancy

Safety of azathioprine in pregnancy in inflammatory bowel disease

1990 ◽  
Vol 99 (2) ◽  
pp. 443-446 ◽  
Author(s):  
E.M. Alstead ◽  
J.K. Ritchie ◽  
J.E. Lennard-Jones ◽  
M.J.G. Farthing ◽  
M.L. Clark
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Inflammatory Bowel ◽  
In Pregnancy

scholarly journals Caecal Perforation from Primary Intestinal Tuberculosis in Pregnancy

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Soe Lwin ◽  
Nina Lau Lee Jing ◽  
Haris Suharjono ◽  
Mardiana binti Kipli ◽  
Tin Moe Nwe ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Case Report ◽  
Preterm Delivery ◽  
Bowel Disease ◽  
Intestinal Tuberculosis ◽  
Right Hemicolectomy ◽  
Migrant Communities ◽  
Inflammatory Bowel ◽  
Caecal Perforation ◽  
In Pregnancy

The incidence of tuberculosis (TB) is rising worldwide, despite the efficacy of the BCG vaccination. Populations at greatest risk of contracting TB are migrant communities, as well as immunocompromised individuals. The diagnosis of extrapulmonary TB (EPTB) can often present as a diagnostic conundrum, due to its nonspecific and varied presentation, often mimicking inflammatory bowel disease or malignancy. We present a case of caecal TB in pregnancy, which resulted in caecal perforation, a right hemicolectomy, and severe preterm delivery. The aim of this case report is to discuss the diagnosis of extrapulmonary TB, as well as its subsequent management in pregnancy.

scholarly journals 591: The obstetric and neonatal outcomes of inflammatory bowel disease in pregnancy and associated medication use

2019 ◽  
Vol 220 (1) ◽  
pp. S392-S393
Author(s):  
Patricia Rekawek ◽  
Christine Roy-Mcmahon ◽  
Catherine Bigelow ◽  
Jessica Overbey ◽  
Stephanie Pan ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Medication Use ◽  
Neonatal Outcomes ◽  
Inflammatory Bowel ◽  
In Pregnancy

Monitoring Inflammatory Bowel Disease in Pregnancy Using Gastrointestinal Ultrasonography

2020 ◽  
Vol 14 (10) ◽  
pp. 1405-1412 ◽  
Author(s):  
Emma Flanagan ◽  
Emily K Wright ◽  
Jakob Begun ◽  
Robert V Bryant ◽  
Yoon-Kyo An ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Disease Activity ◽  
Wall Thickness ◽  
Terminal Ileum ◽  
Bowel Disease ◽  
Bowel Wall ◽  
Faecal Calprotectin ◽  
Bowel Wall Thickness ◽  
Inflammatory Bowel ◽  
In Pregnancy

Abstract Background and Aims Inflammatory bowel disease [IBD] affects women during their childbearing years. Gastrointestinal ultrasonography [GIUS] accurately identifies disease activity in non-pregnant patients with IBD. The utility of GIUS in pregnancy has not been established. We aimed to determine the feasibility and accuracy of GIUS in the assessment of IBD during pregnancy progression. Methods A multicentre observational study of women with IBD undergoing GIUS during pregnancy. Clinicians assessed the adequacy of bowel views and disease activity in four colonic segments and the terminal ileum. Location[s] in which views were impeded by the uterus were documented. GIUS disease activity [bowel wall thickness >3 mm] was compared with biochemical disease activity [faecal calprotectin >100 μg/g]. Results Ninety patients and 127 GIUS examinations were included [median gestation 19 weeks, range 4–33]. Adequate colonic views were obtained in 116/127 [91%] scans. Adequate ileal views were obtained in 62/67 [93%] scans <20 weeks and 30/51 [59%] scans at 20–26 weeks. There was a positive correlation between bowel wall thickness and calprotectin [r = 0.26, p = 0.03]. GIUS delivered a specificity of 83%, sensitivity of 74%, and negative predictive value of 90% compared with calprotectin. Conclusions GIUS is a feasible and accurate modality for monitoring IBD in pregnancy. Adequate GIUS views of the colon and terminal ileum can be obtained in the majority of patients up to 20 weeks of gestation. Beyond 20 weeks, GIUS provides good views of the colon but the terminal ileum becomes difficult to assess.

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