A Practical Approach to IBD Care in the Pregnant Patient.

Q1 Medicine

Current Gastroenterology Reports Pub Date : 2022-12-01 DOI:10.1007/s11894-022-00856-3

Laura C Sahyoun, Jill K J Gaidos

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引用次数: 2

Abstract

Purpose of review: As the incidence of inflammatory bowel disease (IBD) rises, gastroenterologists are more commonly facing management of the disease in women of childbearing age. This coincides with the development of new IBD therapies whose use in pregnancy must be considered.

Recent findings: This review provides updated recommendations for newer biologic agents and small molecules that have been approved for IBD treatment since the previous guidelines were published. In addition, recent research has found that prior IBD-related surgeries, not just ileal pouch-anal anastomosis, can impact pregnancy outcomes. Reassuringly, assisted reproductive technology for IBD patients has been found to have similar success rates to the non-IBD population. Ensuring disease remission prior to conception and throughout pregnancy is key for optimizing pregnancy and fetal outcomes. As gastroenterologists play an integral role in the management of IBD throughout the peripartum period, this review summarizes recent studies in combination with existing guidelines to address preconception counseling, medication safety, and management for quiescent and active disease throughout pregnancy.

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妊娠患者IBD护理的实用方法。

综述目的:随着炎症性肠病(IBD)发病率的上升，胃肠病学家更常面临育龄妇女的疾病管理。这与新的IBD治疗方法的发展相吻合，必须考虑将其用于妊娠。最新发现:本综述提供了自先前指南发布以来已被批准用于IBD治疗的新生物制剂和小分子的最新建议。此外，最近的研究发现，先前的ibd相关手术，而不仅仅是回肠袋-肛门吻合术，可以影响妊娠结局。令人放心的是，辅助生殖技术对IBD患者的成功率与非IBD人群相似。确保疾病缓解前受孕和整个妊娠是优化妊娠和胎儿结局的关键。由于胃肠病学家在整个围产期IBD的管理中发挥着不可或缺的作用，本综述总结了最近的研究，并结合现有的指南，以解决孕前咨询，药物安全性，以及在整个妊娠期间对静止和活动性疾病的管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Gastroenterology Reports Medicine-Gastroenterology

CiteScore

7.80

自引率

0.00%

发文量

期刊介绍： As the field of gastroenterology and hepatology rapidly evolves, the wealth of published literature can be overwhelming. The aim of the journal is to help readers stay abreast of such advances by offering authoritative, systematic reviews by leading experts. We accomplish this aim by appointing Section Editors who invite international experts to contribute review articles that highlight recent developments and important papers published in the past year. Major topics in gastroenterology are covered, including pediatric gastroenterology, neuromuscular disorders, infections, nutrition, and inflammatory bowel disease. These reviews provide clear, insightful summaries of expert perspectives relevant to clinical practice. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.