孕期克罗恩病急性表现的手术治疗
Surgical treatment of acute manifestations of Crohn's disease during pregnancy.
作者信息
Hill J, Clark A, Scott N A
机构信息
Department of General and Colorectal Surgery, Manchester Royal Infirmary, England.
出版信息
J R Soc Med. 1997 Feb;90(2):64-6. doi: 10.1177/014107689709000203.
Abstract
When requiring surgery, acute exacerbations of Crohn's disease in pregnancy have been reported to carry high maternal and fetal mortality. We report six cases. The women presented at 30, 28, 12, 11, 31 and 25 weeks' gestation and all proved to have intraperitoneal sepsis. In three, the acute symptoms were the first indication of Crohn's disease. All the women recovered and five had healthy babies; the other had a miscarriage when a colonic anastomosis dehisced. In pregnant women with Crohn's disease, the indications for surgery are the same as in non-pregnant patients. For acute manifestations we recommend removal of the source of the sepsis and exteriorization of the bowel ends.
摘要
据报道，妊娠期间克罗恩病急性加重需要手术时，母婴死亡率很高。我们报告6例病例。这些女性分别在妊娠30、28、12、11、31和25周就诊，均被证实有腹腔内感染。其中3例，急性症状是克罗恩病的首发表现。所有女性均康复，5例产下健康婴儿；另1例在结肠吻合口裂开后流产。对于患有克罗恩病的孕妇，手术指征与非孕妇相同。对于急性表现，我们建议切除感染源并将肠端外置。
相似文献
1
Surgical treatment of acute manifestations of Crohn's disease during pregnancy.孕期克罗恩病急性表现的手术治疗
J R Soc Med. 1997 Feb;90(2):64-6. doi: 10.1177/014107689709000203.
2
[Perforation in Crohn disease as a complication in pregnancy].
Geburtshilfe Frauenheilkd. 1991 Mar;51(3):241-3. doi: 10.1055/s-2007-1023713.
3
Emergency surgery for Crohn's disease.克罗恩病的急诊手术
Tunis Med. 2016 Mar;94(3):210-5.
4
Surgery for fulminating colitis during pregnancy.妊娠期暴发性结肠炎的手术治疗。
Dis Colon Rectum. 1983 Feb;26(2):119-22. doi: 10.1007/BF02562590.
5
Crohn's colitis: the fate of the rectum.克罗恩病性结肠炎：直肠的转归
Int J Colorectal Dis. 1998;13(5-6):256-9. doi: 10.1007/pl00013741.
6
Crohn's disease-a chameleon during pregnancy.克罗恩病——孕期的“变色龙”
Langenbecks Arch Surg. 2009 May;394(3):517-27. doi: 10.1007/s00423-008-0431-2. Epub 2008 Nov 11.
7
Emergency surgery for intestinal obstruction revealing ileal Crohn's disease (CD) during pregnancy.孕期因肠梗阻行急诊手术，术中发现回肠克罗恩病（CD）
BMJ Case Rep. 2015 May 12;2015:bcr2013009468. doi: 10.1136/bcr-2013-009468.
8
Surgical treatment for small bowel Crohn's disease: an experience of 28 cases.小肠克罗恩病的外科治疗：28例经验
Indian J Gastroenterol. 2008 Jan-Feb;27(1):12-5.
9
Long-term results of ileal pouch-anal anastomosis for colorectal Crohn's disease.结直肠克罗恩病回肠贮袋肛管吻合术的长期结果
Dis Colon Rectum. 2001 Jun;44(6):769-78. doi: 10.1007/BF02234693.
10
Initial presentation of Crohn's disease in pregnancy: report of a case.克罗恩病在妊娠期的初次表现：病例报告
Dis Colon Rectum. 2003 Mar;46(3):406-10. doi: 10.1007/s10350-004-6563-8.
引用本文的文献
1
Surgery for Crohn's disease during pregnancy: A nationwide survey.孕期克罗恩病的手术治疗：一项全国性调查。
United European Gastroenterol J. 2020 Jul;8(6):736-740. doi: 10.1177/2050640620921060. Epub 2020 Apr 23.
2
Gastrointestinal diseases during pregnancy: what does the gastroenterologist need to know?孕期的胃肠道疾病：胃肠病学家需要了解什么？
Ann Gastroenterol. 2018 Jul-Aug;31(4):385-394. doi: 10.20524/aog.2018.0264. Epub 2018 Apr 27.
3
Treatment of pregnant women with a diagnosis of inflammatory bowel disease.对诊断为炎症性肠病的孕妇进行治疗。
World J Gastrointest Pharmacol Ther. 2016 Nov 6;7(4):490-502. doi: 10.4292/wjgpt.v7.i4.490.
4
Management of inflammatory bowel disease in pregnancy.妊娠期炎症性肠病的管理
Obstet Med. 2010 Jun;3(2):59-64. doi: 10.1258/om.2010.100010. Epub 2010 Jun 3.
5
Management of Inflammatory Bowel Disease During Pregnancy.妊娠期炎症性肠病的管理
Dig Dis Sci. 2016 Aug;61(8):2194-2204. doi: 10.1007/s10620-016-4139-9. Epub 2016 Apr 11.
6
Emergency surgery for intestinal obstruction revealing ileal Crohn's disease (CD) during pregnancy.孕期因肠梗阻行急诊手术，术中发现回肠克罗恩病（CD）
BMJ Case Rep. 2015 May 12;2015:bcr2013009468. doi: 10.1136/bcr-2013-009468.
7
Therapy of complicated Crohn's disease during pregnancy--an interdisciplinary challenge.妊娠期复杂性克罗恩病的治疗——一项跨学科挑战。
Int J Colorectal Dis. 2014 Jun;29(6):645-51. doi: 10.1007/s00384-014-1880-4. Epub 2014 May 4.
8
Reproductive issues in inflammatory bowel disease.炎症性肠病中的生殖问题。
Med Health R I. 2009 Apr;92(4):148-51.
9
Crohn's disease-a chameleon during pregnancy.克罗恩病——孕期的“变色龙”
Langenbecks Arch Surg. 2009 May;394(3):517-27. doi: 10.1007/s00423-008-0431-2. Epub 2008 Nov 11.
10
European evidence based consensus on the diagnosis and management of Crohn's disease: special situations.欧洲关于克罗恩病诊断与管理的循证共识：特殊情况
Gut. 2006 Mar;55 Suppl 1(Suppl 1):i36-58. doi: 10.1136/gut.2005.081950c.
本文引用的文献
1
Fetal loss after cholecystectomy during pregnancy.孕期胆囊切除术后的胎儿丢失
Can Med Assoc J. 1963 Mar 16;88(11):576-7.
2
Crohn's disease presenting acutely in pregnancy.妊娠期急性发作的克罗恩病。
J Obstet Gynaecol Br Emp. 1962 Aug;69:648-51. doi: 10.1111/j.1471-0528.1962.tb01252.x.
3
Regional ileitis complicating pregnancy.妊娠合并局限性回肠炎
Gastroenterology. 1956 Dec;31(6):615-24; discussion, 625-8.
4
MRI in the diagnosis of Crohn's disease in two pregnant women.
J Clin Gastroenterol. 1993 Oct;17(3):244-7. doi: 10.1097/00004836-199310000-00015.
5
The course of inflammatory bowel disease during pregnancy and postpartum.炎症性肠病在孕期及产后的病程。
Am J Gastroenterol. 1981 Apr;75(4):265-9.
6
7
Crohn's disease and pregnancy.克罗恩病与妊娠
Gut. 1984 Jan;25(1):52-6. doi: 10.1136/gut.25.1.52.
8
Acute appendicitis during pregnancy. Diagnosis and management.妊娠期急性阑尾炎。诊断与处理
Arch Surg. 1985 Dec;120(12):1362-7. doi: 10.1001/archsurg.1985.01390360028007.
9
European survey of fertility and pregnancy in women with Crohn's disease: a case control study by European collaborative group.欧洲克罗恩病女性生育力与妊娠情况调查：欧洲协作组的一项病例对照研究
Gut. 1986 Jul;27(7):821-5. doi: 10.1136/gut.27.7.821.
10
Inflammatory bowel disease in the pregnant woman.孕妇的炎症性肠病。
Clin Perinatol. 1985 Oct;12(3):669-82.
Zotero 插件