Deflation of gastric band balloon in pregnancy for improving outcomes

Jefferys, Amanda; Siassakos, Dimitrios; Akande, Valentine; Fox, Robert

doi:10.1002/14651858.cd010048.pub2

Cited by 12 publications

(12 citation statements)

References 27 publications

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“…A more frequent review with the specialist bariatric dietitian may be required 11,131 . It should be noted that for women, who have had a gastric band, decisions around band management should be made in clinical context as there are RCTs to define optimum management of the gastric band inflation during pregnancy 4,161 …”

Section: Abnormal Test Results and Clinical Problemsmentioning

confidence: 99%

British Obesity and Metabolic Surgery Society Guidelines on perioperative and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery—2020 update

et al. 2020

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Bariatric surgery is recognized as the most clinically and cost-effective treatment for people with severe and complex obesity. Many people presenting for surgery have pre-existing low vitamin and mineral concentrations. The incidence of these may increase after bariatric surgery as all procedures potentially cause clinically significant micronutrient deficiencies. Therefore, preparation for surgery and long-term nutritional monitoring and follow-up are essential components of bariatric surgical care. These guidelines update the 2014 British Obesity and Metabolic Surgery Society nutritional guidelines. Since the 2014 guidelines, the working group has been expanded to include healthcare professionals working in specialist and non-specialist care as well as patient representatives. In addition, in these updated guidelines, the current evidence has been systematically reviewed for adults and adolescents undergoing the following procedures: adjustable gastric band, sleeve gastrectomy, Rouxen-Y gastric bypass and biliopancreatic diversion/duodenal switch. Using methods based on Scottish Intercollegiate Guidelines Network methodology, the levels of evidence and recommendations have been graded. These guidelines are comprehensive,

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Section: Abnormal Test Results and Clinical Problemsmentioning

confidence: 99%

British Obesity and Metabolic Surgery Society Guidelines on perioperative and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery—2020 update

et al. 2020

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“…Band inflation may reduce maternal complications, however this could be at the expense of foetal growth, whereas deflation may prevent band-related complications, but in turn could result in excessive gestational weight gain and increase risk of macrosomia and GDM [135]. Band adjustment should hence be considered on an individualised basis.…”

Section: Pregnancy After Bariatric Surgerymentioning

confidence: 99%

Practical Recommendations of the Obesity Management Task Force of the European Association for the Study of Obesity for the Post-Bariatric Surgery Medical Management

et al. 2017

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Bariatric surgery is today the most effective long-term therapy for the management of patients with severe obesity, and its use is recommended by the relevant guidelines of the management of obesity in adults. Bariatric surgery is in general safe and effective, but it can cause new clinical problems and is associated with specific diagnostic, preventive and therapeutic needs. For clinicians, the acquisition of special knowledge and skills is required in order to deliver appropriate and effective care to the post-bariatric patient. In the present recommendations, the basic notions needed to provide first-level adequate medical care to post-bariatric patients are summarised. Basic information about nutrition, management of co-morbidities, pregnancy, psychological issues as well as weight regain prevention and management is derived from current evidences and existing guidelines. A short list of clinical practical recommendations is included for each item. It remains clear that referral to a bariatric multidisciplinary centre, preferably the one performing the original procedure, should be considered in case of more complex clinical situations.

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“…For preventing complications due to the gastric band, deflating or extracting the gastric band might be necessary during pregnancy. Deflation of the gastric band up to 6 months after delivery or a total removal of the gastric band has been recommended (32).…”

Section: Maternal and Fetal Outcomes Of Pregnancies After Bariatric Smentioning

confidence: 99%

Bariatric Surgery and Fertility

Mayır¹,

MAYİR²

2018

Bezmialem Science

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Reproductive concerns and pregnancy outcomes after bariatric surgery is performed are important issues for patients, general surgeons, and obstetrics and gynecology specialists. Although there are no official guidelines available concerning the pregnancy outcome after bariatric surgery is performed, being pregnant after bariatric surgery is performed seems to be safe. However, conception is not recommended within the first year of undergoing bariatric surgery when there is rapid weight loss. Patients must be carefully evaluated before conception, and necessary supplements such as vitamins and folic acid must be recommended.

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Deflation of gastric band balloon in pregnancy for improving outcomes

Cited by 12 publications

References 27 publications

British Obesity and Metabolic Surgery Society Guidelines on perioperative and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery—2020 update

British Obesity and Metabolic Surgery Society Guidelines on perioperative and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery—2020 update

Practical Recommendations of the Obesity Management Task Force of the European Association for the Study of Obesity for the Post-Bariatric Surgery Medical Management

Bariatric Surgery and Fertility

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