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妊娠期溃疡性结肠炎致结肠穿孔的外科治疗:病例报告。

Surgical management of colonic perforation due to ulcerative colitis during pregnancy: Report of a case.

机构信息

Douglas Overbey, Henry Govekar, Csaba Gajdos, Department of Surgery, University of Colorado, Aurora, CO 80045, United States.

出版信息

World J Gastrointest Surg. 2014 Oct 27;6(10):201-3. doi: 10.4240/wjgs.v6.i10.201.

DOI:10.4240/wjgs.v6.i10.201
PMID:25346802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4208044/
Abstract

This report describes a young female in her second trimester of pregnancy with known ulcerative colitis on maintenance medical therapy. She was admitted for abdominal pain, and workup revealed a colonic stricture and ulceration with contained perforation. After multidisciplinary discussion she was managed with colectomy and end ileostomy. She delivered a healthy newborn 18 wk after surgery. Only a few prior reports described surgical management of inflammatory bowel disease during pregnancy, with recent results indicating low risk of adverse outcomes.

摘要

本报告介绍了一位处于妊娠中期的年轻女性,她患有溃疡性结肠炎,正在接受维持治疗。她因腹痛入院,检查显示结肠狭窄伴溃疡穿孔。经多学科讨论后,她接受了结肠切除术和末端回肠造口术。术后 18 周,她顺利产下一名健康的新生儿。此前仅有少数几篇报告描述了妊娠期炎症性肠病的手术治疗,最近的结果表明不良结局的风险较低。

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本文引用的文献

1
Surgical management of ulcerative colitis in an ongoing pregnancy: report of a case and literature review.妊娠期溃疡性结肠炎的外科治疗:1例报告及文献复习
Int J Colorectal Dis. 2014 Feb;29(2):271. doi: 10.1007/s00384-013-1786-6. Epub 2013 Oct 30.
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Chronic ulcerative colitis and colorectal cancer.慢性溃疡性结肠炎与结直肠癌。
Cancer Lett. 2014 Apr 10;345(2):235-41. doi: 10.1016/j.canlet.2013.07.032. Epub 2013 Aug 11.
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Inflammatory bowel disease and pregnancy: overlapping pathways.炎症性肠病与妊娠:重叠的发病途径。
Transl Res. 2012 Jul;160(1):65-83. doi: 10.1016/j.trsl.2011.12.002. Epub 2011 Dec 23.
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Ileostomy obstruction in the third trimester of pregnancy.妊娠晚期回肠造口梗阻
Colorectal Dis. 2012 Sep;14(9):e631-2. doi: 10.1111/j.1463-1318.2012.02972.x.
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Inflammatory bowel disease in pregnancy.妊娠合并炎症性肠病。
Gastroenterol Clin North Am. 2011 Jun;40(2):399-413, ix. doi: 10.1016/j.gtc.2011.03.006. Epub 2011 Apr 6.
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Visceral surgery and pregnancy.内脏手术与妊娠。
J Visc Surg. 2010 Jun;147(3):e129-35. doi: 10.1016/j.jviscsurg.2010.07.005. Epub 2010 Sep 1.
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Pregnancy and inflammatory bowel disease.妊娠与炎症性肠病。
Gastroenterol Clin North Am. 2009 Dec;38(4):629-49. doi: 10.1016/j.gtc.2009.07.006.
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Relapses of inflammatory bowel disease during pregnancy: in-hospital management and birth outcomes.妊娠期炎症性肠病复发:住院治疗及分娩结局
Am J Gastroenterol. 2008 May;103(5):1203-9. doi: 10.1111/j.1572-0241.2007.01756.x. Epub 2008 Apr 16.
9
Maternal and fetal outcome after colectomy for fulminant ulcerative colitis during pregnancy: case series and literature review.妊娠期暴发性溃疡性结肠炎行结肠切除术后的母婴结局:病例系列及文献综述
Dis Colon Rectum. 2006 Jan;49(1):64-73. doi: 10.1007/s10350-005-0210-x.