ERCP in der Schwangerschaft – Besonderheiten der Assistenz

Endoskopische Eingriffe während der Schwangerschaft stellen naturgemäß immer Ausnahmen von der Routine dar. Insbesondere bei dringlichen Maßnahmen am Gallenwegssystem sind pflegerische und medizinische Besonderheiten zu beachten. Da es sich dabei fast immer um Komplikationen des Gallensteinleidens handelt, sollen diese Besonderheiten hier anhand eines Behandlungsfalls besprochen werden.

Schlüsselwörter

ERCP - Gallensteine - Schwangerschaft

Literatur

• 1 Scott LD. Gallstone disease and pancreatitis in pregnancy.  Gastrointest Clin N Am. 1992;  21 804-805
• 2 Glasgow RE, Visser BC, Harris HW et al.. Changing management of gallstone diseases during pregnancy.  Sug Endosc. 1998;  12 241-246
• 3 Al-Hashem H, Muralidharan V, Cohen H et al.. Biliary diseases in pregnancy with an emphasis on the role of ERCP.  J Clin Gastroenterol. 2009;  43 58-62
• 4 Everson GT. Gallblader function in gallstone disease.  Gastroenterol Clin North Am. 1981;  20 85-110
• 5 Tsimoylannis EC, Antoniou NC, Tsaboulas C et al.. Cholelithiasis during pregnancy and lactation. Prospective study.  Eur J Surg. 1994;  160 627-631
• 6 Porras LTC, Napoli ED, Canullan CM et al.. Minimally invasive management of acute biliary tract disease during pregnancy.  HPB Surg. published online ID 829020 2009; 
• 7 Lu EJ, Curet MJ, El-Sayed Y et al.. Medical versus surgical management of biliary tract disease in pregnancey.  Am J Surg. 2004;  188 755-759
• 8 Printen KJ. Cholecystectomy during pregnancy.  Am Surg. 1978;  44 432-434
• 9 Grimes DA. Spontaneous perforation of the gallbladder from cholecystitis with acute appendicitis in pregnancy. A case report.  J Reprod Med. 1996;  41 450-452
• 10 Petrozza JC, Mastrobattista JM, Monga M. Gallbladder peforation in pregnancy.  Am J Perinatol. 1995;  12 339-341
• 11 Glenn FS, McSherry CK, Charles K. Gallstones and pregnancy among 200 young women treated with Cholecystectomy.  Surg Gynecol Obstet. 1992;  175 41-46
• 12 Ramin KD, Ramin SM, Richey SD. Acute pancreatitis in pregnancy.  Am J Obstet Gynecol. 1995;  173 187-191
• 13 Nesbitt TH, Kay HH, McCoy MC et al.. Endoscopic management of biliary disease during pregnancy.  Obstet Gynecol. 1996;  87 806-809
• 14 Akcakaya A, Ozkan OV, Okan I et al.. Endoscopic retrograde cholangiopancreatography during pregnancy without radiation.  World J Gastroenterol. 2009;  15 36-52
• 15 Swisher SG, Hunt KK, Schmit PJ et al.. Management of pancreatitis complicating pregnancy.  Am Surg. 1994;  60 759-762
• 16 Block P, Kelly TR. Management of gallstone pancreatitis during pregnancy and the postpartum period.  Surg Gynecol Obstet. 1989;  168 426-428
• 17 Chen CP, Wang KG, Su TH et al.. Acute pancreatitis in pregnancy.  Acta Obstet Gynecol Scand. 1995;  74 607-610
• 18 Dabbas N, Abdelazi M, Hamdan K et al.. Gallstone-induced perforation of the common bile duct in pregnancy.  HPB Surg. published online DOI: 10.1155/2008/174202 2008; 
• 19 Piotrowski JJ, Van Stiegmann G, Liechty RD. Spontaneous bile duct rupture in pregnancy.  HPB Surg. 1990;  2 205-209
• 20 Hendrickx L, Van Hee RH, Hubens A. Spontaneous rupture of the cystic duct during pregnancy.  Neth J Surg. 1981;  33 247-249
• 21 Soehendra N. Endoskopie während der Schwangerschaft.  LangenbeckŽs Archives of Surgery. 2005;  355 229-231
• 22 Dixon NP, Faddis DM, Silberman H. Aggressive management of cholecystitis during pregnancy.  Am J Surg. 1987;  154 292-294
• 23 Morrell DG, Mullins JR, Harrison PB. Laparoscopic cholecystektomy during pregnancy in symptomatic patients.  Surgery. 1992;  11 856-859
• 24 Baillie J, Cairns SR, Putman WS. Endoscopic management of choledocolithiasis during pregnancy.  Surg Gynecol Obstet. 1990;  71 1-4
• 25 Scott LD. Gallstone disease and pancreatitis in pregnancy.  Gastrointest Clin N Am. 1992;  21 804-805
• 26 Baron TH, Schueler BA. Pregnancy and radiation exposure during therapeutic ERCP: time to putt he baby to bed?.  Gastrointest Endosc. 2009;  69 832-834
• 27 Uomo G, Manes G, Picciotto FP. Endoscopic treatment of acute biliäry üancreatitis in pregnancy.  J Clin Gastroenterol. 1994;  18 250-252
• 28 Chong VH, Jalihal A. Endoscopic management of biliary disorders during pregnancy.  Hepatobiliary Pancreat Dis Int. 2010;  9 180-185
• 29 Brownsey A. Study examines radiation dose estimates for pregnant women undergoing therapeutic ERCP.  American Society for Gastrointestinal Endoscopy. published online 630-570-5635 2009; 
• 30 Samara ET, Strakatis J, Enele JM Melono et al.. Therapeutic ERCP and pregnancy: ist he radiation risk fort he conceptus trivial?.  Gastrointest Endosc. 2009;  69 824-831

Korrespondenzadresse