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Pregnancy and delivery after antireflux surgery
Rodrigo Gonzalez1, Steven P Bowers, Vickie Swafford
1Emory Endosurgery Unit, Department of Surgery, Emory University School of Medicine, 1364 Clifton Rd. N.E., Atlanta, GA 30322, USA.
American Journal of Surgery
|June 29, 2004
Summary
Subsequent pregnancies after antireflux surgery (ARS) in women of childbearing age do not negatively impact outcomes. These women experienced similar symptom rates and long-term results compared to those without subsequent pregnancies.
Area of Science:
- Gastroenterology
- Surgical Outcomes
- Women's Health
Background:
- Concerns exist regarding antiretroviral surgery (ARS) safety in women of childbearing age due to potential wrap disruption during subsequent pregnancies.
- Surgeons may hesitate to perform ARS in this demographic, despite a lack of reported outcomes data.
Purpose of the Study:
- To evaluate the impact of subsequent pregnancies on outcomes after antireflux surgery (ARS) in women of childbearing age.
- To compare outcomes between women who had subsequent pregnancies (SP) and those who did not (NP) after ARS.
Main Methods:
- A questionnaire was administered to women of childbearing age who underwent ARS for gastroesophageal reflux disease (GERD) between 1991 and 2000.
- Patients were divided into two groups: those with subsequent pregnancies (SP) and those without (NP), and their outcomes were compared.
Main Results:
- Of 118 patients, 95 completed the questionnaire. Fifteen patients reported 19 subsequent pregnancies, with 69% experiencing retching or vomiting.
- Preoperative complicated GERD, postoperative symptoms, medication use, and reoperation rates were similar between SP and NP groups.
- Long-term outcomes and failure rates were comparable, with the SP group reporting higher overall satisfaction.
Conclusions:
- Women of childbearing age often present with complicated GERD, potentially leading to higher rates of symptomatic and anatomic fundoplication failures.
- Subsequent pregnancies do not appear to adversely affect outcomes after antireflux surgery (ARS).