title: [Digestive surgical complications during pregnancy following bariatric surgery: Experience of a center for perinatology and obesity].
abstract: OBJECTIVE
  To describe severe complications during pregnancy requiring surgery in patients with a history of obesity surgery.
  
  
  METHODS
  A retrospective study in a hospital with tertiary care perinatology and an obesity reference center, on all pregnancies following bariatric surgery over a 10-year period, analyzing all cases of surgical complications.
  
  
  RESULTS
  There were 8 major complications related to the procedure in 141 pregnancies with bariatric surgery. The 2 complications in women with gastric banding were band slippage resulting in severe dysphagia, one of which leading to intractable vomiting and serious hydrolectric disorders. Among the 6 complications after bypass surgery, 4 were occlusions: 3 on internal hernias of which 2 with volvulus and 1 associated with intestinal invagination, as well as one with intestinal invagination only. One patient had a laparotomy for a suspected invagination which was not confirmed. The other surgical complications after gastric bypass were a hernia and an exploratory laparotomy for suspected intussusception which was overturned. There was no case of maternal or perinatal death.
  
  
  CONCLUSIONS
  Pregnancies in patients with a history of bariatric surgery are at high risk, in particular for complications related to the surgery and thus require careful interdisciplinary surveillance, and determination of predictive factors.
authors.affiliation: Service de gynécologie-obstétrique, hôpital Louis-Mourier, hôpitaux universitaires Paris-Nord-Val-de-Seine, 178, rue des Renouillers, 92700 Colombes, France; Université Paris-Diderot, Paris, France; Département hospitalo-universitaire risques et grossesse, hôpitaux universitaires Paris-Nord-Val-de-Seine, 178, rue des Renouillers, 92700 Colombes, France.
authors.forename: A
authors.initials: A
authors.lastname: Chevrot
authors.affiliation: Service de gynécologie-obstétrique, hôpital Louis-Mourier, hôpitaux universitaires Paris-Nord-Val-de-Seine, 178, rue des Renouillers, 92700 Colombes, France; Université Paris-Diderot, Paris, France; Département hospitalo-universitaire risques et grossesse, hôpitaux universitaires Paris-Nord-Val-de-Seine, 178, rue des Renouillers, 92700 Colombes, France.
authors.forename: N
authors.initials: N
authors.lastname: Lesage
authors.affiliation: Université Paris-Diderot, Paris, France; Service de chirurgie digestive, hôpital Louis-Mourier, hôpitaux universitaires Paris-Nord-Val-de-Seine, 178, rue des Renouillers, 92700 Colombes, France.
authors.forename: S
authors.initials: S
authors.lastname: Msika
authors.affiliation: Service de gynécologie-obstétrique, hôpital Louis-Mourier, hôpitaux universitaires Paris-Nord-Val-de-Seine, 178, rue des Renouillers, 92700 Colombes, France; Université Paris-Diderot, Paris, France; Département hospitalo-universitaire risques et grossesse, hôpitaux universitaires Paris-Nord-Val-de-Seine, 178, rue des Renouillers, 92700 Colombes, France. Electronic address: laurent.mandelbrot@lmr.aphp.fr.
authors.forename: L
authors.initials: L
authors.lastname: Mandelbrot
mesh_terms: D000328:Adult; D050110:Bariatric Surgery / Q000009:adverse effects* / Q000706:statistics & numerical data; D005260:Female; D005602:France / Q000453:epidemiology; D006782:Hospitals, Special / Q000706:statistics & numerical data; D006801:Humans; D010500:Perinatology / Q000706:statistics & numerical data; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology / Q000209:etiology*; D012189:Retrospective Studies
keywords: Anneau gastrique; Chirurgie bariatrique; Complication; Complications; Gastric banding; Grossesse; Obesity bariatric surgery; Obésité; Pregnancy; RYGB bypass