Influence of Biliopancreatic Diversion on Pregnancy Outcomes in Comparison to Other Bariatric Surgery Procedures

Background Pregnancy after bariatric surgery (BS) has an increased risk for small-for-gestational-age infants (SGA), shorter length of gestation, and probably perinatal mortality. The aim of this study was to investigate if biliopancreatic diversion could impair pregnancy outcomes in comparison to o...

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Bibliographic Details
Published in:Obesity surgery 2018-10, Vol.28 (10), p.3284-3292
Main Authors: De Carolis, S., Botta, A., Del Sordo, Gelsomina, Guerrisi, R., Salvi, S., De Carolis, M. P., Iaconelli, A., Giustacchini, P., Raffaelli, M., Lanzone, A.
Format: Article
Language:English
Subjects:
Birth weight
Diabetes
Gastrointestinal surgery
Hypertension
Medicine
Medicine & Public Health
Original Contributions
Pregnancy
Premature birth
Surgery
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Summary:Background Pregnancy after bariatric surgery (BS) has an increased risk for small-for-gestational-age infants (SGA), shorter length of gestation, and probably perinatal mortality. The aim of this study was to investigate if biliopancreatic diversion could impair pregnancy outcomes in comparison to other bariatric surgery procedures. Methods We conducted a cohort retrospective single-center study in 65 women before and after BS. Thirty-one pregnancies occurred before BS, while 109 after BS, amongst which n  = 51 after biliopancreatic diversion (BPD) and n  = 58 after non-malabsorptive procedures. Results The pregnancy outcomes after BS in comparison with those before BS resulted less affected by diabetes, hypertensive disorders, macrosomia, and large-for-gestational-age (LGA), but more complicated by preterm births (14.5 versus 4.0%) and low birth weight (LBW) infants (28.9 versus 0%). Moreover, mean birth weight resulted lower after BS than before BS ( p  
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-018-3350-5