Digestive surgical complications during pregnancy following bariatric surgery: Experience of a center for perinatology and obesity

作者：Chevrot A; Lesage N; Msika S; Mandelbrot L^*

来源：Journal de Gynecologie Obstetrique et Biologie de la Reproduction, 2016, 45(4): 372-379.

DOI：10.1016/j.jgyn.2015.04.007

• Obesity bariatric surgery
• Complications
• Pregnancy
• Gastric banding
• RYGB bypass

Objective. To describe severe complications during pregnancy requiring surgery in patients with a history of obesity surgery.
Materiel and methods. A retrospective study in a hospital with tertiary care perinatology and an obesity reference center, on all pregnancies following bariatric surgery over a 10-year period, analyzing all cases of surgical complications.
Results. There were 8 major complications related to the procedure in 141 pregnancies with bariatric surgery. The 2 complications in women with gastric banding were band slippage resulting in severe dysphagia, one of which leading to intractable vomiting and serious hydrolectric disorders. Among the 6 complications after bypass surgery, 4 were occlusions: 3 on internal hernias of which 2 with volvulus and 1 associated with intestinal invagination, as well as one with intestinal invagination only. One patient had a laparotomy for a suspected invagination which was not confirmed. The other surgical complications after gastric bypass were a hernia and an exploratory laparotomy for suspected intussusception which was overturned. There was no case of maternal or perinatal death.
Conclusion. Pregnancies in patients with a history of bariatric surgery are at high risk, in particular for complications related to the surgery and thus require careful interdisciplinary surveillance, and determination of predictive factors.

• 出版日期2016-4