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Timing of Gestation After Laparoscopic Sleeve Gastrectomy (LSG): Does It Influence Obstetrical and Neonatal Outcomes of Pregnancies?

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Abstract

Aim

We aimed to evaluate the effect of pregnancy timing after laparoscopic sleeve gastrectomy (LSG) on maternal and fetal outcomes.

Methods

Women with LSG were stratified into two groups with surgery-to-conception intervals of ≤ 18 months (early group) or > 18 months (late group). Only the first delivery after LSG was included in this study. We compared maternal characteristics, pregnancy, and neonatal outcomes and adherence to the Institute of Medicine’s (IOM) recommendations for gestational weight gain (GWG) in the two groups.

Results

Fifteen patients conceived ≤ 18 months after surgery, with a mean surgery-to-conception interval of 5.6 ± 4.12 months, and 29 women conceived > 18 months following LSG, with a mean surgery-to-conception interval of 32.31 ± 11.38 months, p < 0.05. There was no statistically significant difference between the two groups regarding birth weight, gestational age, cesarean deliveries (CD), preterm birth, whether their child was small or large for their gestational age, or in the need of neonatal intensive care. There was no correlation between mean weight loss from operation till conception, mean weight gain during pregnancy, and mean body mass index (BMI) at conception between birth weight in either study group. Inadequate and normal GWG was significantly higher in the early group, whereas excessive GWG was significantly higher in the late group (X2, 20.780; p = < 0.001).

Conclusion

The interval between LSG and conception did not impact maternal and neonatal outcomes. Pregnancy after LSG was overall safe and well-tolerated.

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Authors and Affiliations

  1. Fatih Sultan Mehmet Education and Research Hospital, Endocrinology and Metabolism Disorders, Department of Internal Medicine, University of Health Sciences, Atasehir, 34752, İstanbul, Turkey

    Seda Sancak & Özgen Çeler

  2. Fatih Sultan Mehmet Education and Research Hospital, Department of Internal Medicine, University of Health Sciences, Atasehir, İstanbul, Turkey

    Elif Çırak

  3. General Surgery Clinic, Fatih Sultan Mehmet Education and Research Hospital, University of Health Sciences, Atasehir, Istanbul, Turkey

    Aziz Bora Karip, M. Tumiçin Aydın, Nuriye Esen Bulut, M. Mahir Fersahoğlu, Hasan Altun & Kemal Memişoğlu

  4. General Surgery Clinic, Liv Hospital, Ulus, Istanbul, Turkey

    Hasan Altun

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  1. Seda Sancak
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  2. Özgen Çeler
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Contributions

Seda Sancak, as principal investigator, had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.

Corresponding author

Correspondence to Seda Sancak.

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To conduct the study, the institutional review board approval was obtained. The study was carried out in accordance with the Declaration of Helsinki (2013) of the World Medical Association.

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The authors declare that they have no conflict of interest.

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Sancak, S., Çeler, Ö., Çırak, E. et al. Timing of Gestation After Laparoscopic Sleeve Gastrectomy (LSG): Does It Influence Obstetrical and Neonatal Outcomes of Pregnancies?. OBES SURG 29, 1498–1505 (2019). https://doi.org/10.1007/s11695-018-03700-8

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