Successful jejunal nutrition therapy in a pregnant patient with apallic syndrome

Wejda, B; Soennichsen, B.; Huchzermeyer, H.; Mayr, Benedikt; Cirkel, U.; Dormann, Arno J.

doi:10.1054/clnu.2002.0633

Cited by 9 publications

(5 citation statements)

References 13 publications

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“…Five cases of PEGJ have been reported during pregnancy (Supplementary Table 5 online). [121][122][123][124] Indications for this procedure were hyperemesis gravidarum in four patients and coma from massive stroke in one patient. In all four patients with hyperemesis gravidarum, PEGJ feedings resulted in rapid maternal weight gain and delivery of healthy babies (three at term and one at 35 weeks of gesta tion).…”

Section: Percutaneous Endoscopic Gastrostomymentioning

confidence: 99%

“…PEGJ performed in the comatose pregnant woman with recurrent vomiting led to rapid improvement in maternal nutrition; the infant was born alive, but severely underweight, at 27 weeks of gestation. 124 Current data suggest that PEG and PEGJ are not contraindicated during pregnancy. They may be considered in extraordinary circumstances, such as hyper emesis gravidarum with recurrent vomiting refractory to con ventional noninvasive therapy, when fetal viability is endangered by maternal malnutrition and weight loss.…”

Section: Percutaneous Endoscopic Gastrostomymentioning

confidence: 99%

See 1 more Smart Citation

Risks versus benefits of gastrointestinal endoscopy during pregnancy

Cappell

2011

Nat Rev Gastroenterol Hepatol

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Although gastrointestinal endoscopy is generally safe, its safety must be separately analyzed during pregnancy with regard to fetal safety. Fetal risks from endoscopic medications are minimized by avoiding FDA category D drugs, minimizing endoscopic medications, and anesthesiologist attendance at endoscopy. Esophagogastroduodenoscopy seems to be relatively safe for the fetus and may be performed when strongly indicated during pregnancy. Despite limited clinical data, endoscopic banding of esophageal varices and endoscopic hemostasis of nonvariceal upper gastrointestinal bleeding seems justifiable during pregnancy. Flexible sigmoidoscopy during pregnancy also appears to be relatively safe for the fetus and may be performed when strongly indicated. Colonoscopy may be considered in pregnant patients during the second trimester if there is a strong indication. Data on colonoscopy during the other trimesters are limited. Therapeutic endoscopic retrograde cholangiopancreatography seems to be relatively safe during pregnancy and should be performed for strong indications (for example, complicated choledocholithiasis). Endoscopic safety precautions during pregnancy include the performance of endoscopy in hospital by an expert endoscopist and only when strongly indicated, deferral of endoscopy to the second trimester whenever possible, and obstetric consultation.

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Section: Percutaneous Endoscopic Gastrostomymentioning

confidence: 99%

Section: Percutaneous Endoscopic Gastrostomymentioning

confidence: 99%

Risks versus benefits of gastrointestinal endoscopy during pregnancy

Cappell

2011

Nat Rev Gastroenterol Hepatol

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“…Other cases in the literature have reported patients with PEG tube placement as early as 8 weeks of gestation [ 2 ] and as late as 29 weeks of gestation [ 3 ], spanning a range that covers all three trimesters. Nasogastric (NG) tube placement, while less invasive, is a much less sustainable option over a longer period due to the risks of nasal septal necrosis [ 4 ], chronic sinusitis [ 5 ], or accidental or intentional removal by the patient [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Safety of Percutaneous Endoscopic Gastrostomy Placement in Pregnancy: A Case Report and Literature Review

Aslinia

Edalati

Fallahian

et al. 2022

Case Reports in Gastrointestinal Medicine

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Gastrostomy tube placement in pregnancy is historically contraindicated due to risk of injury to the developing fetus and exposure to anesthetic agents. However, in cases where oral nutritional access is severely jeopardized, percutaneous endoscopic gastrostomy (PEG) tube placement can be a life-saving measure. In this case report and literature review, we present a case of successful PEG placement in a pregnant woman, followed by a discussion of the existing literature regarding PEG placement during pregnancy.

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“…Enteral tube feeding that is required before pregnancy may be an indicator of the challenges that will face the woman while pregnant [31]. TPN may be indicated for pregnant women who develop pancreatitis during pregnancy [37,38]. Tube feeding combined with the elevated intra-abdominal pressure of the expanding uterus may reveal or exacerbate gastroesophageal reflux.…”

Section: Nutrition Supportmentioning

confidence: 99%