Rana Pratyaksha, Gupta Pankaj, Chaluvashetty Sreedhara B, Mittal Ashima, Kalra Naveen, Dutta Usha, Sandhu Manavjit Singh
Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Department of Gynaecology and Obstetrics, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Clin Exp Hepatol. 2020 Sep;6(3):176-184. doi: 10.5114/ceh.2020.99508. Epub 2020 Sep 30.
Hepatobiliary disorders are common in pregnancy and pose a management challenge. Minimally invasive interventional radiological (IR) techniques allow safe and effective management of these disorders. However, the available literature is scarce. Radiological interventions in this group of patients mandate a clear understanding of the risks of radiation to the fetus. The IR physician involved in the care of these patients should be aware of the measures to minimize the exposure to ionizing radiation. Additionally, the risk-benefit ratio should be clearly defined in a multidisciplinary discussion involving IR physicians, obstetricians, and gastroenterologists. This review is an effort to address issues related to the application of IR procedures for hepatobiliary disorders in pregnant patients.
肝胆疾病在妊娠期间很常见,给治疗带来了挑战。微创介入放射学(IR)技术可对这些疾病进行安全有效的治疗。然而,现有文献稀少。对这组患者进行放射学干预需要清楚了解辐射对胎儿的风险。参与这些患者护理的IR医生应知晓将电离辐射暴露降至最低的措施。此外,应在由IR医生、产科医生和胃肠病学家参与的多学科讨论中明确界定风险效益比。本综述旨在探讨与IR程序在妊娠患者肝胆疾病中的应用相关的问题。