Pregnancies after adjustable gastric banding

We evaluated outcome of pregnancies of morbidly obese women who are within the first 2 years after laparoscopic adjustable gastric banding. 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 retros...

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Bibliographic Details
Published in:Obesity surgery 2001-06, Vol.11 (3), p.303-306
Main Authors: Weiss, H G, Nehoda, H, Labeck, B, Hourmont, K, Marth, C, Aigner, F
Format: Article
Language:English
Subjects:
Adolescent
Adult
Female
Gastrointestinal surgery
Gastroplasty
Humans
Middle Aged
Obesity
Obesity, Morbid - surgery
Pregnancy
Pregnancy Outcome
Retrospective Studies
Weight control
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Summary:We evaluated outcome of pregnancies of morbidly obese women who are within the first 2 years after laparoscopic adjustable gastric banding. 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. 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. 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.
ISSN:0960-8923
1708-0428
DOI:10.1381/096089201321336647