Logo do repositório
 
Publicação

Demystifying endoscopic retrograde cholangiopancreatography (ERCP) during pregnancy

2017-10-08Artigo científico Acesso aberto
Ver registo simples
dc.contributor.authorMagno-Pereira, Vítor
dc.contributor.authorMoutinho-Ribeiro, Pedro
dc.contributor.authorMacedo, Guilherme
dc.date.accessioned2019-06-18T18:08:42Z
dc.date.available2019-06-18T18:08:42Z
dc.date.issued2017-10-08
dc.description.abstractBackground: For many years, ERCP was avoided in pregnancy given the concerns regarding the adverse effects that, with special focus on radiation, could occur in the developing fetus. However, the postponement or rejection of ERCP in pregnant women, may lead to a higher risk for mother and fetus, especially when the indication is unequivocal, namely cholangitis, biliary pancreatitis and symptomatic choledocholithiasis. Summary and key messages: This review aims to summarize the scarce literature on the subject in order to plan ERCP in pregnancy with the highest safety. The use of techniques that reduce radiation and increase the protection of pregnant women allow radiation levels far below the safety limits. We also discuss the various alternatives of ERCP without radiation. EUS can eliminate the need for ERCP with doubtful choledocholithiasis and plan the best approach in those with previous evidence. The possibility of performing “ERCP” with a linear echoendoscope uniquely under ultrasound control has been described. Conversely, the two-step strategy (initial sphincterotomy with stent placement without fluoroscopy and after delivery, ERCP with lithiasis extraction) proved to be safe obviating fluoroscopy. In conclusion, ERCP can be performed in pregnancy safely and effectively with minimal radiation or even no-radiation at all.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationEuropean journal of obstetrics, gynecology, and reproductive biology, ISSN: 1872-7654, Vol: 219, Page: 35-39pt_PT
dc.identifier.doidoi.org/10.1016/j.ejogrb.2017.10.008pt_PT
dc.identifier.issn1872-7654
dc.identifier.urihttp://hdl.handle.net/10400.26/28920
dc.language.isoengpt_PT
dc.publisherElsevier Incpt_PT
dc.relation.publisherversionhttps://europepmc.org/abstract/med/29040894pt_PT
dc.subjectERCPpt_PT
dc.subjectNo-radiationpt_PT
dc.subjectradiationpt_PT
dc.subjectPregnancypt_PT
dc.subjectEUSpt_PT
dc.subjectCholedocholithiasispt_PT
dc.subjectPortugalpt_PT
dc.subjectMadeira Islandpt_PT
dc.titleDemystifying endoscopic retrograde cholangiopancreatography (ERCP) during pregnancypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage39pt_PT
oaire.citation.startPage35pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

Ficheiros

Principais
A mostrar 1 - 1 de 1
Miniatura
Nome:
Demystifying endoscopic retrograde cholangiopancreatography (ERCP).pdf
Tamanho:
271.03 KB
Formato:
Adobe Portable Document Format
Ver/Abrir
Licença
A mostrar 1 - 1 de 1
Miniatura indisponível
Nome:
license.txt
Tamanho:
1.85 KB
Formato:
Item-specific license agreed upon to submission
Descrição:
Ver/Abrir

Coleções

SESARAM - MInt - Artigos