Women's gastrointestinal (GI) health is a topic that is not well understood nor taught in most training programs. In this article, we highlight the importance of proper training in women's GI health among gastroenterologists and fellows, and identify some common conditions to provide the best possible treatment for their female patients.
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References
1.
RyenR, FriedmanL, GressF, et al.Training the gastroenterologist of the future: The gastroenterology core curriculum. Gastroenterology, 2003; 124:1055–1104.
2.
LovellRM, FordAC. Effect of gender on prevalence of irritable bowel syndrome in the community: Systematic review and meta-analysis. Am J Gastroenterol, 2012; 107:991–1000.
MeneesSB, InadomiJM, KorsnesS, EltaGH. Women patients' preference for women physicians is a barrier to colon cancer screening. Gastrointest Endosc, 2005; 62:219–223.
5.
SchneiderA, KanagarajanN, AnjellyD, ReynoldsJC, AhmadA. Importance of gender, socioeconomic status, and history of abuse on patient preference for endoscopist. Am J Gastroenterol, 2009; 104:340–348.
6.
BocciG, TroianoG, MessinaG, NanteN, CivitelliS. Factors that could influence women's participation in colorectal cancer screening: An Italian study. Ann Ig, 2017; 29:151–160.
7.
BrayF, FerlayJ, SoerjomataramI, SiegelRL, TorreLA, JemalA. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin, 2018; 68:394–424.
8.
American Association for the Study of Liver Diseases; American College of Gastroenterology; American Gastroenterological Association; American Society for Gastrointestinal Endoscopy. Training the gastroenterologist of the future: The Gastroenterology Core Curriculum. Gastroenterology, 2003; 124:1055–1104.
9.
SahaS, EspostiSD. Meeting the need for women's health training in gastroenterology: Creation of a women's digestive disorder program at Brown University. J Womens Health, 2010; 19:1409–1415. http://doi.org/10.1089/jwh.2009.1727
Women in the Workplace 2015. Washington, DC: LeanIn.org and McKinsey & Company, 2015. Available at: http://womenintheworkplace.com/ui/pdfs/Women_in_the_Workplace_2015.pdf?v55 Accessed October3, 2015.
12.
Number and Percentage of Active Physicians by Sex and Specialty: https://www.aamc.org/data-reports/workforce/report/physician-specialty-data-report Accessed March3, 2021.
StamarskiCS, Son HingLS. Gender inequalities in the workplace: The effects of organizational structures, processes, practices, and decision makers' sexism. Front Psychol, 2015; 6:1400.
15.
RembackenBJ, DixonS, AlbuquerqueA, FairbrassK, PanaM. Barriers and bias standing in the way of female trainees wanting to learn advanced endoscopy. United Eur Gastroenterol J, 2019; 7:1141–1145.
16.
OliveiraDFM, MaY, WoodruffTK, UzziB. Comparison of National Institutes of Health grant amounts to first-time male and female principal investigators. JAMA, 2019; 321:898–900.
17.
GomesCF, SousaM, LourençoI, MartinsD, TorresJ. Gastrointestinal diseases during pregnancy: What does the gastroenterologist need to know?. Ann Gastroenterol, 2018; 31:385–394.
18.
DowswellT, NeilsonJP. Interventions for heartburn in pregnancy. Cochrane Database Syst Rev, 2008; 4:CD007065.
19.
McConnellRA, MahadevanU. Pregnancy and the patient with inflammatory bowel disease: Fertility, treatment, delivery, and complications. Gastroenterol Clin North Am, 2016; 45:285–301.
20.
van der WoudeCJ, MetselaarHJ, DaneseS. Management of gastrointestinal and liver diseases during pregnancy. Gut, 2014; 63:1014–1023.
21.
van der WoudeCJ, ArdizzoneS, BengtsonMB, et al.The second European evidenced-based consensus on reproduction and pregnancy in inflammatory bowel disease. J Crohns Colitis, 2015; 9:107–124.
22.
WuK, WangH, LiS, ZhangH, ZhuB. Maternal hepatitis B infection status and adverse pregnancy outcomes: A retrospective cohort analysis. Arch Gynecol Obstet, 2020; 302:595–602
23.
Shalimar, AcharyaSK. Hepatitis e and acute liver failure in pregnancy. J Clin Exp Hepatol, 2013; 3:213–224.
24.
LudvigssonJF, LebwohlB, EkbomA, et al.Outcomes of pregnancies for women undergoing endoscopy while they were pregnant: A Nationwide Cohort Study. Gastroenterology, 2017; 152:554–563.e9.
25.
HoudeauE. Sex differences in gastrointestinal physiology and diseases. In: Neigh GN, Mitzelfelt MM, eds. Sex differences in physiology, Academic Press,, 2016; 125–143.
26.
FreemanA, MeneesS. Fecal incontinence and pelvic floor dysfunction in women: A review. Gastroenterol Clin North Am, 2016; 45:217–237.
27.
BrownHW, WexnerSD, SegallMM, BrezoczkyKL, LukaczES. Accidental bowel leakage in the mature women's health study: Prevalence and predictors. Int J Clin Pract, 2012; 66:1101–1108.
