{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T13:05:27Z","timestamp":1777899927467,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2018,3,7]],"date-time":"2018-03-07T00:00:00Z","timestamp":1520380800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scott Med J"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:p>We report a case of a young woman admitted electively for laparoscopic Nissen fundoplication, and again three days post-operatively as an emergency with profuse vomiting and abdominal pain. She underwent diagnostic laparoscopy, and a small gastric perforation was found at the site of the fundoplication and this was suture-repaired. On both admissions, she was \u201cscreened\u201d for pregnancy as per current guidelines. On the second admission, following a CT scan, she was found to have a gravid uterus with a foetus of 16\u201318 weeks\u2019 gestation. In the opinion of the authors, this case highlights that current National Institute for Health and Care Excellence guidelines may be insufficient and could lead to unnecessary harm either to mother or foetus pre-, peri- or post-operatively.<\/jats:p>","DOI":"10.1177\/0036933018760766","type":"journal-article","created":{"date-parts":[[2018,3,8]],"date-time":"2018-03-08T01:53:04Z","timestamp":1520473984000},"page":"60-62","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Current standards for assessing pregnancy status before surgery are subjective and should be replaced with definitive, objective evidence"],"prefix":"10.1177","volume":"63","author":[{"given":"Keiran D","family":"Clement","sequence":"first","affiliation":[{"name":"Foundation Doctor, Department of General Surgery, Ninewells Hospital, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Luhmann","sequence":"additional","affiliation":[{"name":"Specialty Registrar, Department of General Surgery, Ninewells Hospital, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael SJ","family":"Wilson","sequence":"additional","affiliation":[{"name":"Specialty Registrar, Department of General Surgery, Ninewells Hospital, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pradeep","family":"Patil","sequence":"additional","affiliation":[{"name":"Consultant Surgeon, Department of General Surgery, Ninewells Hospital, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,3,7]]},"reference":[{"key":"bibr1-0036933018760766","unstructured":"Health and Social Care Information Centre. Hospital Episode Statistics: admitted patient care 2013 to 2014, https:\/\/www.gov.uk\/government\/statistics\/hospital-episode-statistics-admitted-patient-care-2013-to-2014 (2015, accessed 6 February 2018)."},{"key":"bibr2-0036933018760766","unstructured":"National Institute for Health and Care Excellence.\n                      Preoperative tests: the use of routine preoperative tests for elective surgery\n                      . NICE, 2003."},{"key":"bibr3-0036933018760766","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aer343"},{"key":"bibr4-0036933018760766","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2004.00212.x"},{"key":"bibr5-0036933018760766","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2015.10.003"},{"key":"bibr6-0036933018760766","unstructured":"General Medical Council.\n                      Good medical practice\n                      . London, UK: GMC, 2013."},{"key":"bibr7-0036933018760766","doi-asserted-by":"crossref","unstructured":"Wilson MSJ, Powell-Bowns M, Robertson AG, et\u00a0al.; Scottish Surgical Research Group. National multicentre audit of pregnancy status in general surgery admissions in Scotland.\n                      Postgrad Med J\n                      2017; 93: 480\u2013483.","DOI":"10.1136\/postgradmedj-2016-134390"},{"key":"bibr8-0036933018760766","unstructured":"Rapid Response Report NPSA\/2010\/RRR011.\n                      Checking pregnancy before surgery\n                      . London, UK: National Patient Safety Agency, 2010."},{"key":"bibr9-0036933018760766","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-199601000-00002"},{"key":"bibr10-0036933018760766","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200109000-00024"},{"key":"bibr11-0036933018760766","doi-asserted-by":"publisher","DOI":"10.1213\/ane.0b013e31816788df"},{"key":"bibr12-0036933018760766","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-199610000-00035"},{"key":"bibr13-0036933018760766","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9637"}],"container-title":["Scottish Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0036933018760766","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0036933018760766","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0036933018760766","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T10:18:33Z","timestamp":1777630713000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0036933018760766"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,7]]},"references-count":13,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,5]]}},"alternative-id":["10.1177\/0036933018760766"],"URL":"https:\/\/doi.org\/10.1177\/0036933018760766","relation":{},"ISSN":["0036-9330","2045-6441"],"issn-type":[{"value":"0036-9330","type":"print"},{"value":"2045-6441","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,7]]}}}