Emesis gravidarum bei Magenbandpatientin

Many patients who have bariatric surgery are in fertile age, and the number of pregnancies after these operations is increasing. Therefore, pregnancy after bariatric surgery is of great clinical relevance. Moreover, a large number of pregnant women experience nausea and vomiting and some suffer from hyperemesis gravidarum, with symptoms frighteningly similar to the potential complications after bariatric surgery. We report of a 24-year-old woman with grade-III obesity who underwent laparoscopic gastric banding. A few years later, she presented to hospital because of recurrent vomiting and it was discovered she was pregnant.. The patient’s vomiting continued, but she was discharged with the diagnosis of hyperemesis gravidarum. The patient’s condition deteriorated progressively, she had to be transferred to intensive care, and the pregnancy had to be terminated. After her condition stabilized, she was assigned to our obesity center. A contrast swallow examination showed complete band slippage with a parastomal passage stop. The patient was immediately operated on laparoscopically and the gastric band was removed.