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Obesity Surgery

, Volume 22, Issue 10, pp 1568–1579 | Cite as

Maternal and Neonatal Outcome After Laparoscopic Adjustable Gastric Banding: a Systematic Review

  • L. Vrebosch
  • S. Bel
  • G. Vansant
  • I. Guelinckx
  • R. Devlieger
Review

Abstract

The number of women of reproductive age undergoing bariatric surgery, including laparoscopic adjustable gastric banding (LAGB), has increased in recent years. The objective of this study was to list both maternal and neonatal outcomes in pregnancies in obese women (BMI ≥ 30 kg/m2) after LAGB and compare them with pregnancies in obese or normal weight women without LAGB. Studies showed a lower incidence of gestational diabetes, pregnancy-induced hypertension (PIH), pre-eclampsia, caesarean section (CS), macrosomia, and low birth weight babies in post-LAGB pregnancies compared to pregnancies in obese women without LAGB. Gestational weight gain was also lower in post-LAGB pregnancies. However, the incidence of PIH, pre-eclampsia, CS, preterm birth, large for gestational age, spontaneous abortion, and NICU admission was higher in post-LAGB pregnancies than in normal weight pregnancies. In conclusion, LAGB seems to improve pregnancy outcomes in obese women, even when obesity is still present at the onset of pregnancy. However, further research is needed and pregnant women with a gastric band should always be closely monitored by a multidisciplinary team.

Keywords

Pregnancy Pregnancy outcome Obesity Bariatric surgery Laparoscopic adjustable gastric banding 

Notes

Acknowledgments

Potential Conflict of Interest Statement

RD is a recipient of a postdoctoral research grant from the FWO Flanders (2010–2015). All other authors have no conflict of interest.

References

  1. 1.
    Ducarme G, Revaux A, Rodrigues A, et al. Obstetric outcome following laparoscopic adjustable gastric banding. Int J Gynaecol Obstet. 2007;98(3):244–7.PubMedCrossRefGoogle Scholar
  2. 2.
    Flegal KM, Graubard BI, Williamson DF, et al. Excess deaths associated with underweight, overweight, and obesity. JAMA. 2005;293(15):1861–7.PubMedCrossRefGoogle Scholar
  3. 3.
    Satpathy HK, Fleming A, Frey D, et al. Maternal obesity and pregnancy. Postgrad Med. 2008;120(3):E01–9.PubMedCrossRefGoogle Scholar
  4. 4.
    Dixon JB, Dixon ME, O’Brien PE. Birth outcomes in obese women after laparoscopic adjustable gastric banding. Obstet Gynecol. 2005;106(5 Pt 1):965–72.PubMedCrossRefGoogle Scholar
  5. 5.
    Lapolla A, Marangon M, Dalfra MG, et al. Pregnancy outcome in morbidly obese women before and after laparoscopic gastric banding. Obes Surg. 2010;20(9):1251–7.PubMedCrossRefGoogle Scholar
  6. 6.
    Bar-Zohar D, Azem F, Klausner J, et al. Pregnancy after laparoscopic adjustable gastric banding: perinatal outcome is favorable also for women with relatively high gestational weight gain. Surg Endosc. 2006;20(10):1580–3.PubMedCrossRefGoogle Scholar
  7. 7.
    Isaacs JD, Magann EF, Martin RW, et al. Obstetric challenges of massive obesity complicating pregnancy. J Perinatol. 1994;14(1):10–4.PubMedGoogle Scholar
  8. 8.
    Sebire NJ, Jolly M, Harris JP, et al. Maternal obesity and pregnancy outcome: a study of 287,213 pregnancies in London. Int J Obes Relat Metab Disord. 2001;25(8):1175–82.PubMedCrossRefGoogle Scholar
  9. 9.
    Hauger MS, Gibbons L, Vik T, et al. Prepregnancy weight status and the risk of adverse pregnancy outcome. Acta Obstet Gynecol Scand. 2008;87(9):953–9.PubMedCrossRefGoogle Scholar
  10. 10.
    Cnattingius S, Bergstrom R, Lipworth L, et al. Prepregnancy weight and the risk of adverse pregnancy outcomes. N Engl J Med. 1998;338(3):147–52.PubMedCrossRefGoogle Scholar
  11. 11.
    Maggard MA, Yermilov I, Li Z, et al. Pregnancy and fertility following bariatric surgery: a systematic review. JAMA. 2008;300(19):2286–96.PubMedCrossRefGoogle Scholar
  12. 12.
    James WP, Ralph A. New understanding in obesity research. Proc Nutr Soc. 1999;58(2):385–93.PubMedCrossRefGoogle Scholar
  13. 13.
    Maggard MA, Shugarman LR, Suttorp M, et al. Meta-analysis: surgical treatment of obesity. Ann Intern Med. 2005;142(7):547–59.PubMedGoogle Scholar
  14. 14.
    Li Z, Maglione M, Tu W, et al. Meta-analysis: pharmacologic treatment of obesity. Ann Intern Med. 2005;142(7):532–46.PubMedGoogle Scholar
  15. 15.
    Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292(14):1724–37.PubMedCrossRefGoogle Scholar
  16. 16.
    Eid I, Birch DW, Sharma AM, et al. Complications associated with adjustable gastric banding for morbid obesity: a surgeon’s guides. Can J Surg. 2011;54(1):61–6.PubMedCrossRefGoogle Scholar
  17. 17.
    Weiss HG, Nehoda H, Labeck B, et al. Pregnancies after adjustable gastric banding. Obes Surg. 2001;11(3):303–6.PubMedCrossRefGoogle Scholar
  18. 18.
    Martin LF, Finigan KM, Nolan TE. Pregnancy after adjustable gastric banding. Obstet Gynecol. 2000;95(6 Pt 1):927–30.PubMedCrossRefGoogle Scholar
  19. 19.
    Dixon JB, Dixon ME, O’Brien PE. Pregnancy after Lap-Band surgery: management of the band to achieve healthy weight outcomes. Obes Surg. 2001;11(1):59–65.PubMedCrossRefGoogle Scholar
  20. 20.
    Skull AJ, Slater GH, Duncombe JE, et al. Laparoscopic adjustable banding in pregnancy: safety, patient tolerance and effect on obesity-related pregnancy outcomes. Obes Surg. 2004;14(2):230–5.PubMedCrossRefGoogle Scholar
  21. 21.
    Sheiner E, Balaban E, Dreiher J, et al. Pregnancy outcome in patients following different types of bariatric surgeries. Obes Surg. 2009;19(9):1286–92.PubMedCrossRefGoogle Scholar
  22. 22.
    Carelli AM, Ren CJ, Youn HA, et al. Impact of laparoscopic adjustable gastric banding on pregnancy, maternal weight, and neonatal health. Obes Surg. 2011;21(10):1552–8.Google Scholar
  23. 23.
    Jasaitis Y, Sergent F, Bridoux V, et al. Management of pregnancies after adjustable gastric banding. J Gynecol Obstet Biol Reprod (Paris). 2007;36(8):764–9.CrossRefGoogle Scholar
  24. 24.
    Granstrom L, Granstrom L, Backman L. Fetal growth retardation after gastric banding. Acta Obstet Gynecol Scand. 1990;69(6):533–6.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science + Business Media, LLC 2012

Authors and Affiliations

  • L. Vrebosch
    • 1
  • S. Bel
    • 2
  • G. Vansant
    • 3
  • I. Guelinckx
    • 3
  • R. Devlieger
    • 2
    • 4
    • 5
  1. 1.Faculty of Medicine, Nursing and midwiferyKU LeuvenLeuvenBelgium
  2. 2.Department of Development and Regeneration, Section Pregnancy, Foetus and NewbornKU LeuvenLeuvenBelgium
  3. 3.Departments of Nutrition–Public Health MedicineKU LeuvenLeuvenBelgium
  4. 4.Department of Obstetrics and GynaecologyKU LeuvenLeuvenBelgium
  5. 5.Department of Obstetrics and GynaecologyUniversity Hospitals KU LeuvenLeuvenBelgium

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