Skip to main content
Erschienen in: Obesity Surgery 6/2016

07.03.2016 | Brief Communication

The Controversy of the Most Proper Time for Pregnancy After Bariatric Surgery: a Review of Ten Cases

verfasst von: Shahla Chaichian, Bahram Moazzami, Fatemeh Jesmi, Abdolreza Pazouki, Mohadeseh Pishgahroudsari, Somayeh Mokhber, Sajedeh Riazi

Erschienen in: Obesity Surgery | Ausgabe 6/2016

Einloggen, um Zugang zu erhalten

Abstract

Background

Many infertile obese women conceive after bariatric surgery after many years, while guidelines prohibit them from pregnancy for at least 12–18 months after surgery, due to complications.

Methods

We hereby present 11 cases in our research center, pregnant in less than 12 months after surgery from 2011 to 2015, to evaluate their pregnancy outcome and complications.

Results

The mean conception time was 3.6 months after surgery and mean birth weight was 2695 g. Regarding neonatal/fetal complications, there was one case of intrauterine growth retardation and one NICU hospitalization. Among pregnancy complications, eight patients had hyperemesis gravidarum and one had pre-eclampsia.

Conclusions

The results of the present study suggest revising setting a contraindication for conception for patients undergoing bariatric surgery.
Literatur
1.
Zurück zum Zitat Mirzazadeh A, Sadeghirad B, Haghdoost A, et al. The prevalence of obesity in Iran in recent decade; a systematic review and meta-analysis study. Iran J Public Health. 2009;38(3):1–11. Mirzazadeh A, Sadeghirad B, Haghdoost A, et al. The prevalence of obesity in Iran in recent decade; a systematic review and meta-analysis study. Iran J Public Health. 2009;38(3):1–11.
2.
Zurück zum Zitat Pasquali R, Patton L, Gambineri A. Obesity and infertility. Curr Opin Endocrinol Diabetes Obes. 2007;14(6):482–7.CrossRefPubMed Pasquali R, Patton L, Gambineri A. Obesity and infertility. Curr Opin Endocrinol Diabetes Obes. 2007;14(6):482–7.CrossRefPubMed
3.
Zurück zum Zitat Yu C, Teoh T, Robinson S. Review article: obesity in pregnancy. BJOG: Int J Obstet Gynaecol. 2006;113(10):1117–25.CrossRef Yu C, Teoh T, Robinson S. Review article: obesity in pregnancy. BJOG: Int J Obstet Gynaecol. 2006;113(10):1117–25.CrossRef
4.
Zurück zum Zitat Bult MJ, van Dalen T, Muller AF. Surgical treatment of obesity. Eur J Endocrinol. 2008;158(2):135–45.CrossRefPubMed Bult MJ, van Dalen T, Muller AF. Surgical treatment of obesity. Eur J Endocrinol. 2008;158(2):135–45.CrossRefPubMed
5.
Zurück zum Zitat Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. Jama. 2004;292(14):1724–37.CrossRefPubMed Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. Jama. 2004;292(14):1724–37.CrossRefPubMed
6.
Zurück zum Zitat Teitelman M, Grotegut CA, Williams NN, et al. The impact of bariatric surgery on menstrual patterns. Obes Surg. 2006;16(11):1457–63.CrossRefPubMed Teitelman M, Grotegut CA, Williams NN, et al. The impact of bariatric surgery on menstrual patterns. Obes Surg. 2006;16(11):1457–63.CrossRefPubMed
7.
Zurück zum Zitat Maggard MA, Yermilov I, Li Z, et al. Pregnancy and fertility following bariatric surgery: a systematic review. JaMa. 2008;300(19):2286–96.CrossRefPubMed Maggard MA, Yermilov I, Li Z, et al. Pregnancy and fertility following bariatric surgery: a systematic review. JaMa. 2008;300(19):2286–96.CrossRefPubMed
8.
Zurück zum Zitat Torres-Villalobos GM, Kellogg TA, Leslie DB, et al. Small bowel obstruction and internal hernias during pregnancy after gastric bypass surgery. Obes Surg. 2009;19(7):944–50.CrossRefPubMed Torres-Villalobos GM, Kellogg TA, Leslie DB, et al. Small bowel obstruction and internal hernias during pregnancy after gastric bypass surgery. Obes Surg. 2009;19(7):944–50.CrossRefPubMed
9.
Zurück zum Zitat Iavazzo C, Ntziora F, Rousos I, et al. Complications in pregnancy after bariatric surgery. Arch Gynecol Obstet. 2010;282(2):225–7.CrossRefPubMed Iavazzo C, Ntziora F, Rousos I, et al. Complications in pregnancy after bariatric surgery. Arch Gynecol Obstet. 2010;282(2):225–7.CrossRefPubMed
10.
Zurück zum Zitat Karmon A, Sheiner E. Pregnancy after bariatric surgery: a comprehensive review. Arch Gynecol Obstet. 2008;277(5):381–8.CrossRefPubMed Karmon A, Sheiner E. Pregnancy after bariatric surgery: a comprehensive review. Arch Gynecol Obstet. 2008;277(5):381–8.CrossRefPubMed
11.
Zurück zum Zitat Musella M, Milone M, Bellini M, et al. Effect of bariatric surgery on obesity-related infertility. Surg Obes Relat Dis. 2012;8(4):445–9.CrossRefPubMed Musella M, Milone M, Bellini M, et al. Effect of bariatric surgery on obesity-related infertility. Surg Obes Relat Dis. 2012;8(4):445–9.CrossRefPubMed
12.
Zurück zum Zitat Chagas CB, Saunders C, Pereira S, et al. Vitamin A deficiency in pregnancy: perspectives after bariatric surgery. Obes Surg. 2013;23(2):249–54.CrossRefPubMed Chagas CB, Saunders C, Pereira S, et al. Vitamin A deficiency in pregnancy: perspectives after bariatric surgery. Obes Surg. 2013;23(2):249–54.CrossRefPubMed
13.
Zurück zum Zitat Sallé A, Demarsy D, Poirier AL, et al. Zinc deficiency: a frequent and underestimated complication after bariatric surgery. Obes Surg. 2010;20(12):1660–70.CrossRefPubMed Sallé A, Demarsy D, Poirier AL, et al. Zinc deficiency: a frequent and underestimated complication after bariatric surgery. Obes Surg. 2010;20(12):1660–70.CrossRefPubMed
14.
Zurück zum Zitat Beard JH, Bell RL, Duffy AJ. Reproductive considerations and pregnancy after bariatric surgery: current evidence and recommendations. Obes Surg. 2008;18(8):1023–7.CrossRefPubMed Beard JH, Bell RL, Duffy AJ. Reproductive considerations and pregnancy after bariatric surgery: current evidence and recommendations. Obes Surg. 2008;18(8):1023–7.CrossRefPubMed
15.
Zurück zum Zitat Eid GM, Cottam DR, Velcu LM, et al. Effective treatment of polycystic ovarian syndrome with Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2005;1(2):77–80.CrossRefPubMed Eid GM, Cottam DR, Velcu LM, et al. Effective treatment of polycystic ovarian syndrome with Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2005;1(2):77–80.CrossRefPubMed
16.
Zurück zum Zitat Kjær MM, Lauenborg J, Breum BM, et al. The risk of adverse pregnancy outcome after bariatric surgery: a nationwide register-based matched cohort study. Am J Obstet Gynecol. 2013;208(6):464. e1-. e5.CrossRefPubMed Kjær MM, Lauenborg J, Breum BM, et al. The risk of adverse pregnancy outcome after bariatric surgery: a nationwide register-based matched cohort study. Am J Obstet Gynecol. 2013;208(6):464. e1-. e5.CrossRefPubMed
17.
Zurück zum Zitat Patel JA, Patel NA, Thomas RL, et al. Pregnancy outcomes after laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2008;4(1):39–45.CrossRefPubMed Patel JA, Patel NA, Thomas RL, et al. Pregnancy outcomes after laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2008;4(1):39–45.CrossRefPubMed
18.
Zurück zum Zitat Dao T, Kuhn J, Ehmer D, et al. Pregnancy outcomes after gastric-bypass surgery. Am J Surg. 2006;192(6):762–6.CrossRefPubMed Dao T, Kuhn J, Ehmer D, et al. Pregnancy outcomes after gastric-bypass surgery. Am J Surg. 2006;192(6):762–6.CrossRefPubMed
19.
Zurück zum Zitat Sheiner E, Edri A, Balaban E, et al. Pregnancy outcome of patients who conceive during or after the first year following bariatric surgery. Am J Obstet Gynecol. 2011;204(1):50. e1-. e6.CrossRefPubMed Sheiner E, Edri A, Balaban E, et al. Pregnancy outcome of patients who conceive during or after the first year following bariatric surgery. Am J Obstet Gynecol. 2011;204(1):50. e1-. e6.CrossRefPubMed
20.
Zurück zum Zitat Weintraub AY, Levy A, Levi I, et al. Effect of bariatric surgery on pregnancy outcome. Int J Gynecol Obstet. 2008;103(3):246–51.CrossRef Weintraub AY, Levy A, Levi I, et al. Effect of bariatric surgery on pregnancy outcome. Int J Gynecol Obstet. 2008;103(3):246–51.CrossRef
21.
Zurück zum Zitat Magdaleno Jr R, Pereira BG, Chaim EA, et al. Pregnancy after bariatric surgery: a current view of maternal, obstetrical and perinatal challenges. Arch Gynecol Obstet. 2012;285(3):559–66.CrossRefPubMed Magdaleno Jr R, Pereira BG, Chaim EA, et al. Pregnancy after bariatric surgery: a current view of maternal, obstetrical and perinatal challenges. Arch Gynecol Obstet. 2012;285(3):559–66.CrossRefPubMed
22.
Zurück zum Zitat Sheiner E, Levy A, Silverberg D, et al. Pregnancy after bariatric surgery is not associated with adverse perinatal outcome. Am J Obstet Gynecol. 2004;190(5):1335–40.CrossRefPubMed Sheiner E, Levy A, Silverberg D, et al. Pregnancy after bariatric surgery is not associated with adverse perinatal outcome. Am J Obstet Gynecol. 2004;190(5):1335–40.CrossRefPubMed
23.
Zurück zum Zitat Belogolovkin V, Salihu HM, Weldeselasse H, et al. Impact of prior bariatric surgery on maternal and fetal outcomes among obese and non-obese mothers. Arch Gynecol Obstet. 2012;285(5):1211–8.CrossRefPubMed Belogolovkin V, Salihu HM, Weldeselasse H, et al. Impact of prior bariatric surgery on maternal and fetal outcomes among obese and non-obese mothers. Arch Gynecol Obstet. 2012;285(5):1211–8.CrossRefPubMed
24.
Zurück zum Zitat Pazouki A, Cheraghali R, Saeedimotahhar H, et al. Pre-operative rectal indomethacin for reduction of postoperative nausea and vomiting after laparoscopic cholecystectomy: a double-blind randomized clinical trial. J Coll Physicians Surg Pak. 2015;25(1):56–9.PubMed Pazouki A, Cheraghali R, Saeedimotahhar H, et al. Pre-operative rectal indomethacin for reduction of postoperative nausea and vomiting after laparoscopic cholecystectomy: a double-blind randomized clinical trial. J Coll Physicians Surg Pak. 2015;25(1):56–9.PubMed
25.
Zurück zum Zitat Khosravi A, Najafi F, Rahbar M, Atefi A, Motlagh M, Kabir M. Health profile indicators in the Islamic Republic of Iran. Tehran: Iran Ministry of Health and Medical Education, Deputy for Health. 2009 Khosravi A, Najafi F, Rahbar M, Atefi A, Motlagh M, Kabir M. Health profile indicators in the Islamic Republic of Iran. Tehran: Iran Ministry of Health and Medical Education, Deputy for Health. 2009
26.
Zurück zum Zitat Guelinckx I, Devlieger R, Donceel P, et al. Lifestyle after bariatric surgery: a multicenter, prospective cohort study in pregnant women. Obes Surg. 2012;22(9):1456–64.CrossRefPubMed Guelinckx I, Devlieger R, Donceel P, et al. Lifestyle after bariatric surgery: a multicenter, prospective cohort study in pregnant women. Obes Surg. 2012;22(9):1456–64.CrossRefPubMed
27.
Zurück zum Zitat Shankar P, Boylan M, Sriram K. Micronutrient deficiencies after bariatric surgery. Nutrition. 2010;26(11):1031–7.CrossRefPubMed Shankar P, Boylan M, Sriram K. Micronutrient deficiencies after bariatric surgery. Nutrition. 2010;26(11):1031–7.CrossRefPubMed
28.
Zurück zum Zitat Marceau P, Smith J, Biron S, et al. PL-110: successful bariatric surgery in the mother improves health of offspring. Surg Obes Relat Dis. 2009;5(3):S4.CrossRef Marceau P, Smith J, Biron S, et al. PL-110: successful bariatric surgery in the mother improves health of offspring. Surg Obes Relat Dis. 2009;5(3):S4.CrossRef
29.
Zurück zum Zitat Wittgrove AC, Jester L, Wittgrove P, et al. Pregnancy following gastric bypass for morbid obesity. Obes Surg. 1998;8(4):461–4.CrossRefPubMed Wittgrove AC, Jester L, Wittgrove P, et al. Pregnancy following gastric bypass for morbid obesity. Obes Surg. 1998;8(4):461–4.CrossRefPubMed
Metadaten
Titel
The Controversy of the Most Proper Time for Pregnancy After Bariatric Surgery: a Review of Ten Cases
verfasst von
Shahla Chaichian
Bahram Moazzami
Fatemeh Jesmi
Abdolreza Pazouki
Mohadeseh Pishgahroudsari
Somayeh Mokhber
Sajedeh Riazi
Publikationsdatum
07.03.2016
Verlag
Springer US
Erschienen in
Obesity Surgery / Ausgabe 6/2016
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-016-2124-1

Weitere Artikel der Ausgabe 6/2016

Obesity Surgery 6/2016 Zur Ausgabe

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

CME: 2 Punkte

Prof. Dr. med. Gregor Antoniadis Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

CME: 2 Punkte

Dr. med. Benjamin Meyknecht, PD Dr. med. Oliver Pieske Das Webinar S2e-Leitlinie „Distale Radiusfraktur“ beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

CME: 2 Punkte

Dr. med. Mihailo Andric
Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.