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Published on February 15, 2014 | http://doi.org/10.5867/medwave.2014.01.5893

Bariatric surgery and pregnancy: literature review

Cirugía bariátrica y embarazo: revisión de la literatura

Pedro Ferrand Miranda, Tomas Contreras Rivas, Stephanie Leigh Pacciarini

Abstract

Obesity has currently reached epidemic proportions, both in Chile and in the world. This condition is associated to a variety of maternal complications in all stages of the vital cycle and during pregnancy. Medical treatment has not proved successful thus resulting in an increase in bariatric surgery in recent years, even when it is not first line treatment. This literature review aims to report updated results of surgical treatment for obesity before and during pregnancy with respect to fertility, gestational diabetes, pre-eclampsia and pregnancy-induced hypertension. It also looks into the possible effects of surgery on fetal development, and its relation to premature delivery, fetal macrosomy, low birth weight and neural tube defects, as well as effects on maternal and fetal outcomes, mainly in nutrition. Lastly, we suggest some recommendations that arise from this review on the role of contraception, nutrition and time between surgery and pregnancy.

This work is licensed under a Creative Commons Attribution 4.0 International License. Esta licencia permite el uso, distribución y reproducción del artículo en cualquier medio, siempre y cuando se otorgue el crédito correspondiente al autor del artículo y al medio en que se publica, en este caso, Medwave.

Authors

Pedro Ferrand Miranda

Universidad Austral de Chile

Tomas Contreras Rivas

Universidad Austral de Chile

Stephanie Leigh Pacciarini

Hospital Juan Hepp, Purranque, Chile

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History

Citation Ferrand Miranda P, Contreras Rivas T, Leigh Pacciarini S. Bariatric surgery and pregnancy: literature review. Medwave 2014;14(01):e5893 doi: 10.5867/medwave.2014.01.5893

Submission date 01/12/2013

Acceptance date 23/01/2014

Publication date 15/02/2014

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Keywords

pregnancy, bariatric surgery, weight loss

Origin and peer review

con revisión por tres pares revisores externos, a doble ciego

References

  1. Hezelgrave NL, Oteng-Ntim E. Pregnancy after bariatric surgery: a review. J Obes. 2011;2011:501939. | CrossRef | PubMed
  2. Gobierno de Chile, Ministerio de Salud. Encuesta Nacional de Salud ENS Chile 2009-2010. Chile: Minsal, 2010. | Link
  3. Gobierno de Chile, Instituto Nacional de Estadísticas. Compendio estadístico, Estadísticas Demográficas, 2010.Chile: INE, 2010. | Link
  4. Gobierno de Chile, Ministerio de Salud. Situación nutrición en el Sistema Público de Salud 2007-2009. Chile: DEIS, 2009. | Link
  5. Shah DK, Ginsburg ES. Bariatric surgery and fertility.Curr Opin Obstet Gynecol. 2010 Jun;22(3):248-54. | CrossRef | PubMed
  6. Magdaleno R Jr, Pereira BG, Chaim EA, Turato ER. Pregnancy after bariatric surgery: a current view of maternal, obstetrical and perinatal challenges. Arch Gynecol Obstet. 2012 Mar;285(3):559-66. | CrossRef | PubMed
  7. Buchwald H, Oien DM. Metabolic/Bariatric surgery Worldwide 2008. Obes Surg. 2009 Dec;19(12):1605-11. | CrossRef | PubMed
  8. Sjöström L, Lindroos AK, Peltonen M, Torgerson J, Bouchard C, Carlsson B, et al. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004 Dec 23;351(26):2683-93. | CrossRef | PubMed
  9. Kjær MM, Lauenborg J, Breum BM, Nilas L. The risk of adverse pregnancy outcome after bariatric surgery: a nationwide register-based matched cohort study. Am J Obstet Gynecol. 2013 Jun;208(6):464.e1-5. | CrossRef | PubMed
  10. Kjær MM, Nilas L. Pregnancy after bariatric surgery--a review of benefits and risks. Acta Obstet Gynecol Scand. 2013 Mar;92(3):264-71. | CrossRef | PubMed
  11. Consensus Development Conference Panel. NHI Conference. Gastrointestinal Surgery for Severe Obesity. Ann Intern Med. 1991;115(12):956-961. | CrossRef | PubMed
  12. Maggard MA, Yermilov I, Li Z, Maglione M, Newberry S, Suttorp M, et al. Pregnancy and fertility following bariatric surgery: a systematic review. JAMA. 2008 Nov 19;300(19):2286-96. | CrossRef | PubMed
  13. Csendes A, Maluenda F. Morbimortalidad de la cirugía bariátrica. Experiencia chilena en 10 instituciones de salud. Rev Chil Cir. 2006;58(3):208-12. | CrossRef
  14. Guzmán S, Manrique M, Raddatz A, Norero E, Salinas J, Achurra P, et al. Experiencia de 18 años de cirugía de obesidad en la Pontificia Universidad Católica de Chile. Rev Med Chil. 2013 May;141(5):553-61. | CrossRef | PubMed
  15. Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ. Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. Hum Reprod. 1998 Jun;13(6):1502-5. | CrossRef | PubMed
  16. Dixon JB, Dixon ME, O'Brien PE. Pregnancy after Lap-Band surgery: management of the band to achieve healthy weight outcomes. Obes Surg. 2001 Feb;11(1):59-65. | CrossRef | PubMed
  17. Escobar-Morreale HF, Botella-Carretero JI, Alvarez-Blasco F, Sancho J, San Millán JL. The polycystic ovary syndrome associated with morbid obesity may resolve after weight loss induced by bariatric surgery. J Clin Endocrinol Metab. 2005 Dec;90(12):6364-9. | CrossRef | PubMed
  18. Sheiner E, Levy A, Silverberg D, Menes TS, Levy I, Katz M, et al. Pregnancy after bariatric surgery is not associated with adverse perinatal outcome. Am J Obstet Gynecol. 2004 May;190(5):1335-40. | CrossRef | PubMed
  19. Martin LF, Finigan KM, Nolan TE. Pregnancy after adjustable gastric banding. Obstet Gynecol. 2000 Jun;95(6 Pt 1):927-30. | CrossRef | PubMed
  20. Bennett WL, Gilson MM, Jamshidi R, Burke AE, Segal JB, Steele KE, et al. Impact of bariatric surgery on hypertensive disorders in pregnancy: retrospective analysis of insurance claims data. BMJ. 2010 Apr 13;340:c1662. | CrossRef | PubMed
  21. Weintraub AY, Levy A, Levi I, Mazor M, Wiznitzer A, Sheiner E. Effect of bariatric surgery on pregnancy outcome. Int J Gynaecol Obstet. 2008 Dec;103(3):246-51. | CrossRef | PubMed
  22. Lapolla A, Marangon M, Dalfrà MG, Segato G, De Luca M, Fedele D, et al. Pregnancy outcome in morbidly obese women before and after laparoscopic gastric banding. Obes Surg. 2010 Sep;20(9):1251-7. | CrossRef | PubMed
  23. Smith J, Cianflone K, Biron S, Hould FS, Lebel S, Marceau S, et al. Effects of maternal surgical weight loss in mothers on intergenerational transmission of obesity. J Clin Endocrinol Metab. 2009 Nov;94(11):4275-83. | CrossRef | PubMed
  24. Ducarme G, Revaux A, Rodrigues A, Aissaoui F, Pharisien I, Uzan M. Obstetric outcome following laparoscopic adjustable gastric banding. Int J Gynaecol Obstet. 2007 Sep;98(3):244-7. | CrossRef | PubMed
  25. Burke AE, Bennett WL, Jamshidi RM, Gilson MM, Clark JM, Segal JB, et al. Reduced incidence of gestational diabetes with bariatric surgery. J Am Coll Surg. 2010 Aug;211(2):169-75. | CrossRef | PubMed
  26. Patel JA, Patel NA, Thomas RL, Nelms JK, Colella JJ. Pregnancy outcomes after laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2008 Jan-Feb;4(1):39-45. | CrossRef | PubMed
  27. Lesko J, Peaceman A. Pregnancy outcomes in women after bariatric surgery compared with obese and morbidly obese controls. Obstet Gynecol. 2012 Mar;119(3):547-54. | CrossRef | PubMed
  28. Wittgrove AC, Jester L, Wittgrove P, Clark GW. Pregnancy following gastric bypass for morbid obesity. Obes Surg. 1998 Aug;8(4):461-4; discussion 465-6. | CrossRef | PubMed
  29. Sheiner E, Willis K, Yogev Y. Bariatric surgery: impact on pregnancy outcomes. Curr Diab Rep. 2013 Feb;13(1):19-26. | CrossRef | PubMed
  30. Santulli P, Mandelbrot L, Facchiano E, Dussaux C, Ceccaldi PF, Ledoux S, et al. Obstetrical and neonatal outcomes of pregnancies following gastric bypass surgery: a retrospective cohort study in a French referral centre. Obes Surg. 2010 Nov;20(11):1501-8. | CrossRef | PubMed
  31. Dixon JB, Dixon ME, O'Brien PE. Birth outcomes in obese women after laparoscopic adjustable gastric banding.Obstet Gynecol. 2005 Nov;106(5 Pt 1):965-72. | CrossRef | PubMed
  32. Haddow JE, Hill LE, Kloza EM, Thanhauser D. Neural tube defects after gastric bypass. Lancet. 1986 Jun 7;1(8493):1330. | CrossRef | PubMed
  33. Moliterno JA, DiLuna ML, Sood S, Roberts KE, Duncan CC. Gastric bypass: a risk factor for neural tube defects? Case report. J Neurosurg Pediatr. 2008 May;1(5):406-9 | CrossRef | PubMed
  34. Pelizzo G, Nakib G, Alfei A, Iasci A, Cena H, Locatelli D, et al. Fetal neural tube defects in pregnant women previously submitted to bariatric surgery: more attention to a new emerging entity. Prenat Diagn. 2013 Feb;33(2):196-7. | CrossRef | PubMed
  35. Josefsson A, Bladh M, Wiréhn AB, Sydsjö G. Risk for congenital malformations in offspring of women who have undergone bariatric surgery. A national cohort. BJOG. 2013 Nov;120(12):1477-82. | CrossRef | PubMed
  36. Grundy MA, Woodcock S, Attwood SE. The surgical management of obesity in young women: consideration of the mother's and baby's health before, during, and after pregnancy. Surg Endosc. 2008 Oct;22(10):2107-16. | CrossRef | PubMed
  37. Salinas H, Naranjo B, Rojas J, Retamales B, Vera F, Sobron M. Cirugía bariátrica y embarazo. Rev Chil Obstet Ginecol. 2006;71(5):357-63. | CrossRef
  38. American College of Obstetricians and Gynecologists. ACOG practice bulletin no. 105: bariatric surgery and pregnancy. Obstet Gynecol. 2009 Jun;113(6):1405-13. | CrossRef | PubMed
  39. Beard JH, Bell RL, Duffy AJ. Reproductive considerations and pregnancy after bariatric surgery: current evidence and recommendations. Obes Surg. 2008 Aug;18(8):1023-7. | CrossRef | PubMed
  40. Mechanick JI, Youdim A, Jones DB, Garvey WT, Hurley DL, McMahon MM, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient--2013 update: cosponsored by American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery. Obesity (Silver Spring). 2013 Mar;21 Suppl 1:S1-27. | CrossRef | PubMed
  41. Chagas CB, Saunders C, Pereira S, Silva J, Saboya C, Ramalho A. Vitamin a deficiency in pregnancy: perspectives after bariatric surgery. Obes Surg. 2013 Feb;23(2):249-54. | CrossRef | PubMed
  42. Barker DJP. Fetal programming and public health. En: Fetal Programming: influences on development and disease in later life. London, UK.: RCOG Press, 1999:3–11.