ReviewNature reviews. Gastroenterology & hepatology2011
Risks versus benefits of gastrointestinal endoscopy during pregnancy.
Review in Nature reviews. Gastroenterology & hepatology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Optimal treatment strategies for gallbladder disease in pregnancy: a systematic review with dual network meta-analyses.Surgical endoscopy · 2024Pooled it
- ACG Clinical Guideline: Liver Disease and Pregnancy.The American journal of gastroenterology · 2016Guideline
- Safety of endoscopic retrograde cholangiopancreatography (ERCP) in pregnancy: A systematic review and meta-analysis.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology AssociationPooled it
- Characteristics and outcomes of patients with pregnancy-associated colorectal cancer.The oncologist · 2025Article
- Intestinal perforation due to colorectal cancer during pregnancy: case report and literature review.BMC pregnancy and childbirth · 2024Review
- Up-to-date literature review and issues of sedation during digestive endoscopy.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023Review
- Utility of the Novel SpyGlassGE Portuguese journal of gastroenterology · 2022Article
- Pregnancy and Autoimmune Disease.Deutsches Arzteblatt international · 2022Review
- Achalasia During Pregnancy: Proposed Management Algorithm Based on a Thorough Literature Review.Journal of neurogastroenterology and motility · 2021Review
- The Role of Bowel Ultrasound in Detecting Subclinical Inflammation in Pregnant Women with Crohn's Disease.Journal of the Canadian Association of Gastroenterology · 2019Article
- Systematic review of safety and efficacy of therapeutic endoscopic-retrograde-cholangiopancreatography during pregnancy including studies of radiation-free therapeutic endoscopic-retrograde-cholangiopancreatography.World journal of gastrointestinal endoscopy · 2018Article
- Pregnancy in a patient with portal hypertension secondary to liver cirrhosis.BMJ case reports · 2018Article
- The Safety of Multiple Flexible Sigmoidoscopies with Mucosal Biopsies in Healthy Clinical Trial Participants.AIDS research and human retroviruses · 2017Article
- Fulminant ulcerative colitis in a healthy pregnant woman.World journal of gastroenterology · 2015Article
- IBD: reproductive health, pregnancy and lactation.Frontline gastroenterology · 2015Review
- Gastrointestinal endoscopy in pregnancy.World journal of gastroenterology · 2014Review
- Non-radiation endoscopic removal of common bile duct stone assisted with abdominal ultrasonography in a pregnant patient.Journal of medical ultrasonics (2001) · 2014Article
- Gastrointestinal endoscopy in the pregnant woman.World journal of gastrointestinal endoscopy · 2014Review
- Repetitive Colonoscopic Decompression as a Bridge Therapy before Surgery in a Pregnant Patient with Chronic Intestinal Pseudo-Obstruction.Clinical endoscopy · 2013Article
- Fetal radiation exposure: Is monitoring really needed?World journal of gastrointestinal endoscopy · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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.
Indexed as
Identifiers
21970872What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.