Pregnancies after Adjustable Gastric Banding

Weiß, Helmut; Nehoda, Hermann; Labeck, B; Hourmont, Katherine; Marth, Christian; Aigner, Franz

doi:10.1381/096089201321336647

Cited by 102 publications

(63 citation statements)

References 17 publications

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“…Also, port site infection has been reported to be the first symptom of erosion, 22 as seen in some of our patients (Table 1). Although 1 study (23 pregnancies in a series of 359 patients) reported that pregnancy after adjustable gastric banding was not associated with severe complications, 23 band migration after pregnancy has occurred in other studies, 24,25 and severe vomiting in early pregnancy has been hypothesized to be the cause of band migration. 25 Two of our patients (no.…”

Section: Discussionmentioning

confidence: 94%

“…Although 1 study (23 pregnancies in a series of 359 patients) reported that pregnancy after adjustable gastric banding was not associated with severe complications, 23 band migration after pregnancy has occurred in other studies, 24,25 and severe vomiting in early pregnancy has been hypothesized to be the cause of band migration. 25 Two of our patients (no. 6 and 9) had histories of pregnancy after the LAGB, but we do not know whether vomiting was the cause of migration in these women.…”

Section: Discussionmentioning

confidence: 94%

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Endoscopic management of gastric band erosions: a 7-year series of 14 patients

Doğan

Akın

Yalakı

et al. 2014

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Background: Intragastric band migration is an unusual but major complication of gastric banding. We review our experience with endoscopic removal of eroded gastric bands. Methods:We retrospectively evaluated the cases of 110 morbidly obese patients who underwent adjustable gastric banding between 2005 and 2012 to identify those who experienced band erosion. To remove the migrated band, we used an endoscopic approach with a Gastric Band Cutter.Results: Band or tube erosion occurred in 14 patients (12.7%). The median time interval from the initial gastric band placement to the diagnosis of band erosion was 32 (range 18-52) months. Upper abdominal pain, port site infection, loss of restriction and weight regain were the most common symptoms. We used the Gastric Band Cutter to remove the band endoscopically. It was able to cut the band successfully in all but 1 patient, in whom twisting of the cutting wire required conversion from endoscopy to laparotomy. In 2 patients, the band, after being cut, was locked in the gastric wall and required laparotomic removal. In 1 patient, we performed surgery for intragastric pene tration of the connecting tube broken close to the band. Conclusion:The Gastric Band Cutter was successful in dividing the band in all but 1 patient, although we could not always complete the procedure endoscopically. Endoscopic removal seems to be effective and safe for band erosion.Contexte : La migration intragastrique de l'anneau est une complication rare, mais majeure du cerclage gastrique. Nous faisons le point sur notre expérience du retrait endoscopique des anneaux gastriques érodés.Méthodes : Nous avons évalué de manière rétrospective le cas de 110 patients atteints d'obésité morbide qui ont subi un cerclage gastrique ajustable entre 2005 et 2012 afin de vérifier si les anneaux en place étaient érodés. Pour retirer les anneaux qui avaient migré, nous avons utilisé l'approche endoscopique et un dispositif pour sectionner l'anneau gastrique.Résultats : L'anneau ou le tube s'est érodé chez 14 patients (12,7 %). L'intervalle médian entre la pose initiale de l'anneau gastrique et le diagnostic d'érosion a été de 32 (entre 18 et 52) mois. La douleur abdominale haute, l'infection du port d'accès, la diminution de la restriction et la reprise de poids ont été les symptômes les plus fréquents. Nous avons utilisé un dispositif pour sectionner l'anneau gastrique afin de retirer l'anneau par voie endoscopique. Le dispositif a permis de sectionner l'anneau avec succès chez tous les patients sauf 1; dans ce dernier cas, une torsion du fil à sectionner a nécessité la conversion de l'endoscopie en une laparotomie. Chez 2 patients, une fois sectionné, l'anneau est resté emprisonné dans la paroi gastrique et a nécessité une extraction laparotomique. Chez 1 patient, nous avons effectué une intervention chirurgicale en raison de la pénétration intragastrique de la tubulure de raccord sectionnée à proximité de l'anneau. Conclusion :Le dispositif servant à sectionner l'anneau gastrique a bien fonctionné chez tous les...

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 94%

Endoscopic management of gastric band erosions: a 7-year series of 14 patients

Doğan

Akın

Yalakı

et al. 2014

cjs

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“…In one series of five pregnancies, all patients required the band to be completely deflated as a result of excessive nausea and vomiting in early pregnancy. 38 Case-control studies comparing patients before and after LAGB have shown a significant reduction in co-mordities. Dixon et al 39 in their study of 79 patients who had LAGB compared with same patients prior to surgery to 79 obese patients and found that there was less maternal weight gain during pregnancy in LAGB patients and that those who became pregnant within one year of surgery gained less weight during pregnancy.…”

Section: Gastric Bandingmentioning

confidence: 99%

Pregnancy after bariatric surgery: no problem?

Gidiri

Greer

2009

Obstet Med

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Summary: Bariatric surgery is highly effective for weight loss in morbid obesity. With the high prevalence of severe obesity in the developed world, and the acknowledgement of the effectiveness of these procedures by National Institute for Clinical Excellence (in the UK) and the Food and Drug Administration (in the USA), women with severe obesity will increasingly seek such treatment. As the majority of these patients are women of reproductive age, obstetricians will encounter these patients frequently during pregnancy. It is therefore important for obstetricians to gain an insight into the types of surgery performed, the potential complications, including nutritional deficiency, and appropriate management of pregnancy following weight-loss surgery. In general, bariatric surgery is associated with a reduction in obesity related complication, with no apparent increased risk of adverse perinatal outcomes.

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“…The American College of Obstetricians and Gynaecologists recommends that to avoid the initial rapid weight loss phase after any such procedure, women should delay pregnancy for 12 to 18 months [11]. However, conception may occur more readily during this stage due to hormonal normalization, so women should be advised to use a reliable form of contraception during this period [71,72].…”

Section: Surgical Management Of Obesity In Women Of Childbearing Agementioning

confidence: 99%

“…Pregnancy after gastric banding has a greater risk of persistent nausea and vomiting. Fluid likely will need to be removed from the band to allow dilation of the gastric opening for reduction of these symptoms [71,72]. However, this may decrease the effectiveness of the treatment and result in weight gain above recommended limits during pregnancy.…”

Section: Surgical Management Of Obesity In Women Of Childbearing Agementioning

confidence: 99%