Prior IBD Surgery Increases Risk of Ileus and Bowel Obstruction During Pregnancy: Study Finds
USA: Pregnancy in women with a history of inflammatory bowel disease (IBD) surgery presents unique challenges, particularly when it comes to gastrointestinal complications. A new population-based study published in The American Journal of Gastroenterology sheds light on the increased risk of ileus and bowel obstruction in pregnant women who have undergone surgery for IBD before conception.
The study found that women with IBD who have undergone previous surgery are at an increased risk of developing ileus or bowel obstruction during pregnancy. The risk is notably higher in those with ulcerative colitis (UC) (adjusted odds ratio [aOR] 71.9) compared to those with Crohn’s disease (CD) (aOR 10.0). The risk is particularly elevated for UC patients who have permanent ileostomies (aOR 128.6) and for CD patients with intestinal surgery stomas (aOR 43.8), highlighting the importance of close monitoring in pregnant women with a history of IBD surgery.
Women with inflammatory bowel disease who undergo surgery before pregnancy are at an elevated risk for adverse maternal and fetal outcomes. Despite this, there has been limited research on the gastrointestinal complications these women may face during pregnancy. To fill this gap, Sonia Friedman, Division of Gastroenterology and Hepatology, Tufts Medical Center, Boston, USA, and colleagues aimed to examine the risks of gastrointestinal complications, specifically during pregnancy in this group.
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