A Matter of Timing-Pregnancy After Bariatric Surgery.
作者： Marloes Emous , Edo O. Aarts , Laura N. Deden , Gysèle S. Bleumink , Eric J. Hazebroek
DOI: 10.1007/S11695-020-05219-3
关键词: Anastomosis 、 Gestation 、 Gestational age 、 Medicine 、 Pregnancy 、 Sleeve gastrectomy 、 Malnutrition 、 Weight gain 、 Weight loss 、 Surgery
摘要: Purpose: Current guidelines recommend to avoid pregnancy for 12–24 months after bariatric surgery because of active weight loss and an increased risk nutritional deficiencies. However, high-quality evidence is lacking, only a few studies included data on gestational gain. We therefore evaluated neonatal outcomes by both surgery-to-conception interval Materials Methods: A multicenter retrospective analysis 196 singleton pregnancies following Roux-en-Y gastric bypass, sleeve gastrectomy, one anastomosis bypass was conducted. Pregnancies were divided into the early group (≤ 12 months), middle (12–24 late (> 24 months) according interval. Gestational gain classified as inadequate, adequate, or excessive National Academy Medicine recommendations. Results: Pregnancy in (23.5%) associated with lower age at delivery (267.1 ± 19.9 days vs 272.7 9.2 273.1 13.5 days, P = 0.029), (− 0.9 11.0 kg + 10.2 5.6 10.0 6.4 kg,
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