Kane Sunanda V, Reau Nancy
Medicine, Mayo Clinic Minnesota, Rochester, Minnesota, USA
Medicine, Rush University Medical Center, Chicago, Illinois, USA.
Gut. 2023 May;72(5):1007-1015. doi: 10.1136/gutjnl-2022-328893. Epub 2023 Feb 9.
The fields of gastroenterology and hepatology, along with endoscopic practice, have seen significant changes and innovations to practice in just the past few years. These practice changes are not limited to gastroenterology, but maternal fetal medicine and the care of the pregnant person have become increasingly more sophisticated as well. Gastroenterologists are frequently called on to provide consultative input and/or perform endoscopy during pregnancy. To be able to provide the best possible care to these patients, gastroenterologists need to be aware of (and familiar with) the various nuances and caveats related to the care of pregnant patients who either have underlying gastrointestinal (GI) conditions or present with GI and liver disorders. Here, we offer a clinical update with references more recent than 2018, along with a few words about SARS-CoV-2 infection and its relevance to pregnancy.
在过去几年里，胃肠病学和肝病学领域以及内镜诊疗实践都发生了重大变化和创新。这些实践变化不仅限于胃肠病学领域，母胎医学以及对孕妇的护理也变得越来越复杂。胃肠病学家经常被要求在孕期提供咨询意见和/或进行内镜检查。为了能够为这些患者提供尽可能好的护理，胃肠病学家需要了解（并熟悉）与患有潜在胃肠道（GI）疾病或出现GI和肝脏疾病的孕妇护理相关的各种细微差别和注意事项。在此，我们提供一份2018年以后的临床进展更新，并简要介绍严重急性呼吸综合征冠状病毒2（SARS-CoV-2）感染及其与妊娠的相关性。
