Document Detail

Does pregnancy increase the need for revisional surgery after laparoscopic adjustable gastric banding?
MedLine Citation:
PMID:  20680505     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND: Over 80% of laparoscopic adjustable gastric banding (LAGB) patients are women, and approximately half of these are of reproductive age; therefore, pregnancy post-LAGB is common. It is not known if pregnancy increases the need for revisional procedures. We compare the incidence of revisions in two matched cohorts of LAGB patients, with or without subsequent pregnancy.
METHODS: From September 1994 to May 2009, 5,467 patients underwent LAGB at the Centre for Bariatric Surgery, Australia. Women with births post-LAGB were matched to controls, with a "matched follow-up date" calculated equivalent to pregnancy. Rates of primary and overall revisions for band-related (erosions and proximal pouch dilatations) and port/tubing complications were compared for cases and controls at 2 and 3 years post-pregnancy.
RESULTS: One hundred eighty-nine women had ≥1 pregnancies post-LAGB, including 137 with follow-up at 2 years and 104 at 3 years post-pregnancy. There was no significant difference in band or port/tubing revisions between groups at either time point: 16.8% vs 10.5% (p = 0.13) and 23.9% vs 14.6% (p = 0.09) for primary band revisions, and 5.8% vs 5.3% (p = 0.84) and 10.5% vs 6.6% (p = 0.35) for primary port/tubing revisions at 2 and 3 years, respectively. Percentage excess weight loss (%EWL) 3 years post-pregnancy was similar (47.9% vs 47.7%). Pregnancy LAGB management was not found to affect revisions; however, less time between LAGB and pregnancy was associated with a higher rate of primary band revisions (p = 0.03).
CONCLUSION: These data suggest that pregnancy post-LAGB does not affect revision rate or %EWL; however, a shorter time between LAGB operation and pregnancy may predispose to band revisions.
Rebecca N Haward; Wendy A Brown; Paul E O'Brien
Related Documents :
23415845 - Elevated complement factor c5a in maternal and umbilical cord plasma in preeclampsia.
8495785 - Histopathology of the fallopian tube after local instillation of hyperosmolar glucose s...
7989505 - Refinements in the methodology of injection for transvaginal gamete intra-fallopian tra...
7977555 - Juxtaposition of contralateral ovary and fallopian tube to allow pregnancy in unicornua...
20089115 - Hyperglycaemia and adverse pregnancy outcome (hapo) study: associations with maternal b...
24275265 - Syphilis in the modern era: an update for physicians.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obesity surgery     Volume:  21     ISSN:  1708-0428     ISO Abbreviation:  Obes Surg     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-08-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9106714     Medline TA:  Obes Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1362-9     Citation Subset:  IM    
The Centre for Obesity Research and Education (CORE), Monash University Medical School, The Alfred Hospital, Melbourne, 3004, Australia,
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  The importance of the length of the limbs for gastric bypass patients--an evidence-based review.
Next Document:  Effect of different bariatric operations on food tolerance and quality of eating.