[Laparoscopic adjustable gastric banding and pregnancy].
Laparoscopic adjustable gastric banding and pregnancy.


OBJECTIVE
We intend to understand the interactions between pregnancy and laparoscopic adjustable gastric banding in order to ensure better care for patients.


METHODS
We undertake an observation retrospective study, from January 2004 to December 2005, at Edouard Herriot hospital, of births from women with laparoscopic adjustable gastric banding with a study of gastric banding interaction with pregnancy, neonatal outcomes and postpartum; we read through literature.


RESULTS
We studied 35 pregnancies from women with a gastric banding out of 5773 pregnancies (0.6%); we noted lower obstetrical complications with loss of weight that we attributed to the gastric banding comparing with the pregnancies before the gastric banding: three hypertensive diseases and one gestational diabetes had been avoided; we observed a complication due to the gastric banding: occlusive syndrome, which implied gastric banding calibration during immediate postpartum.


CONCLUSIONS
Our record folders are in accordance with literature and confirm improvement in obstetrical prognostic. Waiting for stabilization of weight is recommended before starting a pregnancy after gastric banding surgery; the adjustment of the gastric banding during pregnancy must be undertaken individually according to symptoms (vomiting, gain of weight...).
Bienstman-Pailleux
J
J
Service d'obstétrique pavillon K, hôpital Edouard Herriot, 5, place d'Arsonval, 69003 Lyon, France.
Gaucherand
P
P
D000328:Adult; D005260:Female; D015391:Gastroplasty / Q000009:adverse effects; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D009767:Obesity, Morbid / Q000601:surgery*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000517:prevention & control*; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D016896:Treatment Outcome; D015431:Weight Loss