Gastrointest Endosc Clin N Am. 2025 Jan;35(1):41-58.doi: 10.1016/j.giec.2024.04.006. Epub 2024 May 8.

Zoe Gottlieb ¹, Michelle Gonzalez ², Sunanda Kane ³

Author information

¹Department of Medicine, Mt Sinai Medical Center, 1 Gustave Levy Place, New York, NY 10029, USA.

²Department of Pediatrics, Mayo Clinic Rochester, 200 First Street SouthWest, Rochester, MN 55905, USA.

³Department of Medicine, Mayo Clinic Rochester, 200 First Street SouthWest, Rochester, MN 55905, USA. Electronic address: Kane.Sunanda@mayo.edu.

Abstract

Endoscopy for a hospitalized patient with acute severe ulcerative colitis should be limited to flexible sigmoidoscopy. If, during pregnancy, inflammatory bowel disease (IBD) is active or if a new diagnosis of IBD is suspected, endoscopy may be needed to guide medical decision-making. The determination to proceed with endoscopy during pregnancy is nuanced and requires the ability to discern appropriate indications, knowledge regarding safety of bowel preparation and anesthesia. Pediatric patients with IBD represent a unique subset of IBD with distinctive diagnostic, therapeutic, and monitoring considerations.