Liver enzyme alterations during pregnancy in IBD are not attributable to disease activity or medication

In pregnant women with IBD, changes in liver enzyme levels reflect physiological gestational adaptations rather than pharmacologic effects. Although medication-specific interactions were detected, their clinical significance appears limited. Marked elevations in liver enzymes during pregnancy cannot routinely be attributed to IBD activity or medication and warrant urgent analysis.

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Publication Details

Journal
Scandinavian Journal of Gastroenterology
Published
2026-01-16
DOI
https://doi.org/10.1080/00365521.2025.2606769
Primary Topic
Pregnancy and Medication Impact
Type
article
Field-Weighted Citation Impact
0.00

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article

Liver enzyme alterations during pregnancy in IBD are not attributable to disease activity or medication

D G Bouwknegt, Geke Dijkstra, Marijn C. Visschedijk, Hylke C. Donker et al.
Scandinavian Journal of Gastroenterology
Pregnancy and Medication Impact
article

Liver enzyme alterations during pregnancy in IBD are not attributable to disease activity or medication

D G Bouwknegt, Geke Dijkstra, Marijn C. Visschedijk, Hylke C. Donker, Willemijn A. van Dop, Jelmer R. Prins, Tjebbe Tauber, Bram van Es, C. Janneke van der Woude, On behalf of the Dutch Initiative on Crohn and Colitis (ICC)
article en

Abstract

In pregnant women with IBD, changes in liver enzyme levels reflect physiological gestational adaptations rather than pharmacologic effects. Although medication-specific interactions were detected, their clinical significance appears limited. Marked elevations in liver enzymes during pregnancy cannot routinely be attributed to IBD activity or medication and warrant urgent analysis.

Scandinavian Journal of GastroenterologyVol. 61(3)
University Medical Center Groningen (NL), Radboud University Nijmegen (NL), Erasmus MC (NL), University Medical Center (US), Radboud University Medical Center (NL), University Medical Center Utrecht (NL), MEDRx (Japan) (JP)
Pfizer, ZonMw, United European Gastroenterology, DSM, Cilag
Good health and well-being
Openalex Percentile: Top 87%
Pregnancy and Medication Impact
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