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Midterm Outcome of Early Pregnancy Versus Late Pregnancy After Laparoscopic Sleeve Gastrectomy

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A Correction to this article was published on 06 May 2024

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Abstract

Background

Controversy regarding the timing of pregnancy and its implications is present in the literature.

Objective

To evaluate the midterm outcome of weight loss in women who have undergone laparoscopic sleeve gastrectomy (LSG) followed by pregnancy at two different times.

Methods

We retrospectively reviewed 53 women who matched the inclusion criteria and included them in the analysis. Demographics and anthropometric measurements were collected. Women who conceived within 12 months of LSG were labeled as early group (EG), and who conceived after 12 months were noted as late group (LG).

Results

There were no differences between the groups regarding obesity-associated disease and number of pregnancies before. EG had higher weight (P = 0.0001) and body mass index (BMI) (P = 0.002) at LSG. The mean interval time for EG was 6.7 ± 3.2 months, and LG was 20 ± 5.2 months. Gestational weight gain (GWG) was lower in the EG (P = 0.001). There were no differences in the number of small for gestational age (SGA) births or gestational weight. In the first 2 years after LSG, LG had a higher percentage of total weight loss (%TWL) and percentage of body mass index loss (%EBMIL) (P < 0.0001). After 5 years of follow-up, %TWL (P = 0.4) and %EBMIL (P = 0.1) were not statistically significant between both groups.

Conclusion

Conception within 12 months from LSG might hinder the weight loss process in the short term but have no significant effect over 5 years of follow-up.

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Data Availability

The datasets generated and/or analysed for this study are available from the corresponding author on reasonable request.

Change history

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Acknowledgements

The authors acknowledge Dr. Ghadeer Alneel, Dr. Nada Ahmed, Dr. Safaa Abdelhafeez, Dr. Faiqa Mushtaq, and Dr. Saima Wasif for their contribution in data collection.

Author information

Authors and Affiliations

  1. College of Medicine, Department of Surgery, King Saud University, Riyadh, Saudi Arabia

    Awadh Alqahtani

  2. Dr. Sulaiman Alhabib Hospital, Riyadh, Saudi Arabia

    Awadh Alqahtani, Mohammad Almayouf, Amina Butt, Srikar Billa & Beenish Maqsood

  3. College of Medicine, Department of Surgery, Prince Sattam bin Abdulaziz University, Alkharj, Saudi Arabia

    Mohammad Almayouf

  4. Department of General Surgery, Faculty of Medicine, King Khalid University, Abha, Saudi Arabia

    Mohammed A. Bawahab

  5. Department of Surgery, Section of General Surgery, University of Manitoba, 409 Tache Avenue, Winnipeg, Canada

    Ashley Vergis

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  1. Awadh Alqahtani
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  4. Mohammed A. Bawahab
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Correspondence to Mohammad Almayouf.

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Key Points

• Early pregnancy did not increase the rate of unfavorable neonatal or maternal outcomes.

• The rate of weight loss was inferior in the short-term period for the early pregnancy group.

• The percentage of total weight loss and BMI loss was not significantly different after 5 years in both groups.

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Alqahtani, A., Almayouf, M., Butt, A. et al. Midterm Outcome of Early Pregnancy Versus Late Pregnancy After Laparoscopic Sleeve Gastrectomy. OBES SURG 34, 1630–1638 (2024). https://doi.org/10.1007/s11695-024-07160-1

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