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Impact of Pregnancy on Weight Loss and Quality of Life Following Gastric Banding

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Abstract

Background-Objectives

Despite pregnancy being a common event following laparoscopic adjustable gastric banding (LAGB), there is little comprehensive data regarding its effect on postoperative outcome. The aim of this study was to assess the impact of pregnancy on the postoperative changes in quality of life (QOL) and total weight loss 3 years after LAGB.

Setting

Multi-institutional, France.

Methods

This is a study of the subgroup of 561 women of childbearing age included in a 3-year prospective multicenter trial assessing the results of patients undergoing LAGB surgery. Data from the 61 women who got pregnant and delivered during the follow-up period were compared with the 270 who did not.

Results

Pregnant women achieved lower final weight loss compared to the non-pregnant group [final body mass index (BMI) 35.4 vs. 31.1 kg/m2, p < 0.0001; excess weight loss (%EBL) 43.6 vs. 64.7 %, p < 0.0001]. Longitudinal assessment demonstrated pregnancy as a significant and independent factor of poor weight loss (p < 0.0001). The timing of conception after LAGB (between the first 18 months or after) had no significant impact on weight loss changes. There was no significant difference in short form-36 health survey (SF-36) QOL scores between both groups.

Conclusions

Pregnancy following gastric banding affects negatively postoperative final weight loss, even if occurring 18 months postoperatively, but has no effect on QOL improvement.

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Author information

Authors and Affiliations

  1. Department of Endocrinology, Diabetology and Nutrition, University Hospital Lyon Sud, Lyon, France

    Chrysoula Papastathi, Emmanuel Disse & Martine Laville

  2. University Claude Bernard Lyon 1, Lyon, France

    Chrysoula Papastathi, Emmanuel Disse, Julien Berthiller, Martine Laville, Christian Gouillat & Maud Robert

  3. Hospices Civils de Lyon, Pôle Information Médicale Evaluation Recherche, Unité d’Epidémiologie Clinique Lyon, Lyon, France

    Julien Berthiller

  4. Department of Digestive Surgery, University Hospital Edouard Herriot, Lyon, France

    Christian Gouillat & Maud Robert

Authors
  1. Chrysoula Papastathi
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  2. Emmanuel Disse
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  3. Julien Berthiller
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  4. Martine Laville
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  5. Christian Gouillat
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  6. Maud Robert
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Corresponding author

Correspondence to Chrysoula Papastathi.

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Conflict of Interest

The database used in this study was supported by a grant from M.I. D., Dardilly, France; C Gouillat received consulting fees from MID Dardilly France

Ethical Approval

All procedures performed in the studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Papastathi, C., Disse, E., Berthiller, J. et al. Impact of Pregnancy on Weight Loss and Quality of Life Following Gastric Banding. OBES SURG 26, 1843–1850 (2016). https://doi.org/10.1007/s11695-015-2011-1

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  • DOI: https://doi.org/10.1007/s11695-015-2011-1

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