Abstract
Background/aimPregnancy after bariatric surgery is an issue of growing importance with increasing number of women undergoing bariatric surgery. Therefore, in this study we present patients who conceived after sleeve gastrectomy and evaluate the obstetric outcomes. Materials and methodsThis retrospective case-control study includes 23 women who conceived after laparoscopic sleeve gastrectomy. Patients were evaluated in two groups according to the number of months between surgery and conception (group 1: ≤12 months; group 2: >12 months). ResultsThe mean body mass index of patients before surgery and at the time of conception was 46.6 kg/m2 and 29.7 kg/m2, respectively. Nine patients (39.1%) had a history of infertility. There was no statistical difference between groups 1 and 2 for haemoglobin, ferritin, and 25-OH Vit-D levels or maternofoetal complication rates and pregnancy outcomes. Enteral nutrition requirements and intravenous iron replacement needs were higher in group 1, although this difference was not statistically significant.ConclusionPregnancy in the first years after sleeve gastrectomy seems to have similar obstetric outcomes compared to pregnancies occurring later, but it remains a controversial issue. Although the results did not have statistical significance in our study, well-designed prospective series may determine the role of enteral nutrition and intravenous iron replacement in patient management.
Highlights
The prevalence of obesity has increased over the past three decades both globally and in Turkey [1,2,3]
There was no statistical difference between groups 1 and 2 for haemoglobin, ferritin, and 25-OH Vit-D levels or maternofoetal complication rates and pregnancy outcomes
Pregnancy in the first years after sleeve gastrectomy seems to have similar obstetric outcomes compared to pregnancies occurring later, but it remains a controversial issue
Summary
The prevalence of obesity has increased over the past three decades both globally and in Turkey [1,2,3]. Obesity treatment has become important in recent years. The first-line treatment for obesity comprises lifestyle changes and a dietitian-controlled diet. Some patients do not benefit from diet and may need surgical treatment. Surgical treatment has become a frequently used alternative treatment choice with an increasing number of patients. Female patients constitute the majority of this patient group and more than half of them are in the reproductive period [4]. Obesity is present in about 10% of pregnant women and causes serious maternal complications including gestational diabetes mellitus (GDM) and preeclampsia [5,6]. Losing weight before pregnancy is important in terms of reducing complications
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