Abstract:
BACKGROUND:Bariatric surgery is performed mostly on obese women of reproductive age. Many studies have analyzed pregnancy outcomes after bariatric surgery, but only a small number have studied the impact of pregnancy on the postoperative outcomes. PURPOSE:To study the effect of pregnancy on outcomes after bariatric surgery in women of childbearing age. METHODS:From January 2010 to October 2017, a retrospective study of a prospectively maintained database was conducted at the University Hospital of Geneva (HUG), where 287 women between the ages of 18 and 45 years had undergone Roux-en-Y gastric bypass (RYGB). A comparison of the results during a 5-year follow-up was performed between women who became pregnant after their bariatric surgery (pregnancy group, n = 40) and postoperative non-pregnant women (non-pregnancy group, n = 247). The two groups were compared for weight loss, complications, and nutritional deficiencies. RESULTS:The pregnancy group was significantly younger (29.2 ± 5.5 vs. 36.4± 6.3 years, p < 0.001) and heavier (124.0 ± 18.0 kg vs. 114.7 ± 17.1, p < 0.001) compared with the non-pregnancy group at the time of surgery. The percentage of excess BMI loss (%EBMI loss) was similar in both groups during the 5-year follow-up. Complications after RYGB and nutritional deficiencies were nearly identical in the two groups. The interval of time between bariatric surgery and first pregnancy was a median of 20.8 months. Out of 40 first pregnancies, 28 women completed pregnancy successfully with live birth. CONCLUSION:Pregnancy after bariatric surgery is safe and does not adversely affect outcomes after RYGB.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Brönnimann A,Jung MK,Niclauss N,Hagen ME,Toso C,Buchs NCdoi
10.1007/s11695-020-04643-9subject
Has Abstractpub_date
2020-08-01 00:00:00pages
3001-3009issue
8eissn
0960-8923issn
1708-0428pii
10.1007/s11695-020-04643-9journal_volume
30pub_type
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