Pregnancy and esophageal varices

American Journal of Surgery
R C Britton

Abstract

A review of the case histories of 53 patients with established cirrhosis who had 83 pregnancies and 38 noncirrhotic patients with varices who had 77 pregnancies suggests that conception may occur in patients with varying degrees of hepatic decompensation, that sustaining gestation to term and delivery is unlikely to overtax cirrhotic livers in patients who are able to conceive, that infertility does not necessarily follow portal decompression operations, that fatal hemorrhage from preexisting esophageal varices is not more likely to occur during gestation, that variceal hemorrhage during pregnancy is not predictable on the basis of individual history of bleeding, and that the risk of variceal bleeding is not increased during vaginal delivery. Management of the rare patient with the combination of inactive cirrhosis, portal hypertension and esophageal varices requires a high degree of individualization. The strong desire for a child must be balanced against acceptance of an indeterminate prognosis of intrinsic liver disease, the possible need to terminate pregnancy in the presence of progressive hepatic decompensation, and termination of pregnancy when the potential for fetal abnormality resulting from serious hemorrhage early i...Continue Reading

References

Dec 1, 1967·Archives of Surgery·R E Hermann, C B Esselstyn
Dec 1, 1969·The British Journal of Surgery·W F Hendry, W A Mackey
Jun 1, 1958·The Journal of Obstetrics and Gynaecology of the British Empire·S NABRISKIZ LEWITUS
Jan 7, 1960·The New England Journal of Medicine·W H SUMMERSKILLS J WOLFE
Sep 15, 1964·American Journal of Obstetrics and Gynecology·N J CHAPIS
Jul 31, 1965·British Medical Journal·A M HASSIM

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Citations

Sep 1, 1984·The Japanese Journal of Surgery·T K ChattopadhyayV V Sarathy
Jul 3, 1992·European Journal of Obstetrics, Gynecology, and Reproductive Biology·K K Wong, K L Goh
Jan 9, 2001·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·N AggarwalY Chawla
Jun 1, 2001·European Journal of Obstetrics, Gynecology, and Reproductive Biology·B FurmanM Mazor
Feb 28, 2009·World Journal of Gastroenterology : WJG·Noel M Lee, Carla W Brady
Nov 28, 2013·World Journal of Gastroenterology : WJG·Ghassan M HammoudJamal A Ibdah
Mar 16, 1996·Lancet·M MalaguarneraG Pistone
Mar 11, 2015·Journal of Clinical and Experimental Hepatology·Neelam AggarwalRadha K Dhiman
Jan 10, 2016·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·UNKNOWN Italian Association for the Study of the Liver (AISF), UNKNOWN Italian Association for the Study of the Liver AISF
Feb 3, 2016·The American Journal of Gastroenterology·Tram T TranNancy S Reau
May 24, 2011·Gastroenterology Clinics of North America·Ayaz Matin, David A Sass
May 17, 2011·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Rachel H WestbrookMichael A Heneghan
Nov 1, 1988·Gastrointestinal Endoscopy·B J Salena, M V Sivak
May 13, 2008·Gastroentérologie Clinique Et Biologique·L d'AlterocheY Bacq
Mar 21, 2006·Gastrointestinal Endoscopy Clinics of North America·Joseph M Bruno, Joyann Kroser
Aug 1, 2008·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Jennifer TanSammy Saab
Apr 24, 2013·Hepatology Research : the Official Journal of the Japan Society of Hepatology·Luigi AddarioGianluca Rotondano
Feb 8, 2005·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·L M Byrd, P Bullen
Apr 1, 1994·International Journal of Obstetric Anesthesia·J Duke
Jul 5, 2007·Journal of Vascular and Interventional Radiology : JVIR·Clare SavageChet R Rees
Jan 24, 2015·Cardiovascular and Interventional Radiology·Christopher R IngrahamKarim Valji
May 20, 2015·Best Practice & Research. Clinical Obstetrics & Gynaecology·Victoria Geenes, Catherine Williamson
May 10, 2017·Obstetrics and Gynecology·Anna Palatnik, Mary E Rinella
Sep 19, 2014·World Journal of Hepatology·Grazia TosoneRaffaele Orlando
Feb 5, 2009·European Journal of Gastroenterology & Hepatology·Hadas RosenfeldZvi Ackerman
Oct 31, 2009·Liver International : Official Journal of the International Association for the Study of the Liver·Abdel Aziz M Shaheen, Robert P Myers
Dec 4, 2019·Clinical Obstetrics and Gynecology·Catherine M Albright, Emily E Fay
Feb 15, 2014·European Journal of Gastroenterology & Hepatology·Charlotte NicolasJean-Marc Perarnau
May 20, 2011·European Journal of Gastroenterology & Hepatology·Mukesh KumarShoaib Siddique
Oct 1, 1996·Liver·I JanczewskaU Broomé
Feb 7, 2020·Hepatology Communications·Carla W Brady
Jul 15, 2017·Journal of Obstetrics and Gynaecology of India·Pinky JenaHarshad Devarbhavi
Dec 2, 2020·United European Gastroenterology Journal·Mussarat N RahimMichael A Heneghan
Sep 19, 2020·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Monika SarkarNorah A Terrault
Mar 15, 2003·Gastroenterology Clinics of North America·Bimaljit S Sandhu, Arun J Sanyal
Feb 11, 1998·The Medical Clinics of North America·M L Borum
Jun 25, 1998·Seminars in Perinatology·M A Russell, S D Craigo

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