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Pregnancy After Sleeve Gastrectomy: Time Matters?

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Abstract

Purpose

Obesity has an especial implication for women of childbearing age because of a higher risk of adverse outcomes during pregnancy and labor. This report aimed to analyze complications of pregnancy after sleeve gastrectomy (SG) concerning the time after surgery.

Methods

A retrospective descriptive-analytical study was conducted including women of childbearing age who underwent sleeve gastrectomy (SG) from 2006 to 2017. Patients were divided into two groups regarding the time elapsed from SG to pregnancy: less than and greater than one year (group A /group B, respectively).

Results

During the studied time, 51 pregnancies with complete clinical records were found. The mean weight and gestational age (GA) of the newborn (NB) were normal. The mean time from surgery to pregnancy was 30.4 ± 21 months. Patients from Group A and B presented 28.6% and 16.7% respectively of preterm NB (p = 0.5). Group A registered no low birth weight (LBW) babies (3.0 ± 0.4 kg) with a GA of 37.2 ± 2.1 weeks, while in Group B, 8.6% of NB were at LBW 2.1 ± 0.1 kg and GA of 33.3 ± 3.8 weeks (p = NS).

Conclusion

After SG, no differences in terms of maternal and neonatal complications were found concerning the time between surgery and pregnancy.

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Authors and Affiliations

  1. Department of General Surgery, Bariatric Surgery Program, Hospital Privado Universitario de Córdoba, Av. Naciones Unidas 346, Córdoba Capital, Argentina

    Arocena Luciano, Martin Andrada, Pereyra Ferrero Rafael, Signorini Franco, Obeide Lucio & Moser Federico

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  1. Arocena Luciano
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  2. Martin Andrada
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  5. Obeide Lucio
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Correspondence to Arocena Luciano.

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Key Points

• There were no differences in terms of maternal and neonatal morbidity and mortality concerning the time interval between surgery and pregnancy.

• Newborns have a similar weight and gestational age to the general population.

• Laparoscopic sleeve gastrectomy could be an appropriate surgery in advanced gestational age women planning pregnancy.

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Luciano, A., Andrada, M., Rafael, P.F. et al. Pregnancy After Sleeve Gastrectomy: Time Matters?. OBES SURG 32, 2938–2944 (2022). https://doi.org/10.1007/s11695-022-06149-y

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  • DOI: https://doi.org/10.1007/s11695-022-06149-y

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