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Published on: November 10, 2018
[Laparoscopic adjustable gastric banding and pregnancy]
J Bienstman-Pailleux1, P Gaucherand
1Service d'obstétrique pavillon K, hôpital Edouard Herriot, 5, place d'Arsonval, 69003 Lyon, France.
Unlabelled:
Laparoscopic adjustable gastric banding and pregnancy.
Objectives:
We intend to understand the interactions between pregnancy and laparoscopic adjustable gastric banding in order to ensure better care for patients.
Materials And Method:
We undertake an observation retrospective study, from January 2004 to December 2005, at Edouard Herriot hospital, of births from women with laparoscopic adjustable gastric banding with a study of gastric banding interaction with pregnancy, neonatal outcomes and postpartum; we read through literature.
Results:
We studied 35 pregnancies from women with a gastric banding out of 5773 pregnancies (0.6%); we noted lower obstetrical complications with loss of weight that we attributed to the gastric banding comparing with the pregnancies before the gastric banding: three hypertensive diseases and one gestational diabetes had been avoided; we observed a complication due to the gastric banding: occlusive syndrome, which implied gastric banding calibration during immediate postpartum.
Conclusion:
Our record folders are in accordance with literature and confirm improvement in obstetrical prognostic. Waiting for stabilization of weight is recommended before starting a pregnancy after gastric banding surgery; the adjustment of the gastric banding during pregnancy must be undertaken individually according to symptoms (vomiting, gain of weight...).
