Pregnancies after Adjustable Gastric Banding |
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Authors: | Helmut G Weiss MD Hermann Nehoda MD Burkhard Labeck MD Katherine Hourmont MD Christian Marth MD PhD Franz Aigner MD |
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Institution: | (1) Austria University Hospital of Innsbruck |
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Abstract: | Background: We evaluated outcome of pregnancies of morbidly obese women who are within the first 2 years after laparoscopic
adjustable gastric banding. Methods: 215 morbidly obese women of reproductive potential (age 18-45 years), who had agreed
to remain on reliable contraceptives for 2 years after surgery, were retrospectively analyzed following bariatric surgery.
Results: 7 unexpected pregnancies were observed. 5 pregnancies were full-term (3 vaginal and 2 cesarean deliveries). The birth
weights ranged from 2110 g to 3860 g. 2 women had first trimester miscarriages. All gastric bands were completely decompressed
due to nausea and vomiting, resulting in further weight gain. 2 serious band complications were observed (1 intragastric band
migration and 1 balloon defect), which required re-operation. Conclusions: Pregnancy in morbidly obese women soon after adjustable
gastric banding may occur unexpectedly during a period of weight loss. Prophylactic fluid removal from the band eliminates
the efficacy of the obesity treatment. Moreover, this cohort shows an increased incidence of spontaneous abortions and band-related
complications. |
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Keywords: | MORBID OBESITY PREGNANCY ADJUSTABLE GASTRIC BANDING |
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