title: Laparoscopic Sleeve Gastrectomy in the Postpartum Period: Increased Risk of Bleeding, a Challenging Situation.
abstract: The female population represents three-fourths of patients undergoing a bariatric procedure and could be scheduled for surgery in their postpartum period. We report a difficult case of a female patient who underwent a laparoscopic sleeve gastrectomy 6 weeks postpartum. The postpartum period is accompanied by pronounced vasodilatation with transient portal hypertension. Most of the hemodynamic alterations occurring during pregnancy return to baseline within 6-8 weeks after delivery. Bariatric surgery in the postpartum period should be avoided in order for the cardiovascular system to regain its normality.
authors.affiliation: Surgical Department, Bariatric Division, Hôpital du Sacré-Coeur de Montréal, Université de Montréal, 5400 boul. Gouin ouest, Montréal, Québec, H4J 1C5, Canada.
authors.forename: Omar
authors.initials: O
authors.lastname: Abouzahr
authors.affiliation: Surgical Department, Bariatric Division, Hôpital du Sacré-Coeur de Montréal, Université de Montréal, 5400 boul. Gouin ouest, Montréal, Québec, H4J 1C5, Canada.
authors.forename: Fabio
authors.initials: F
authors.lastname: Garofalo
authors.affiliation: Surgical Department, Bariatric Division, Hôpital du Sacré-Coeur de Montréal, Université de Montréal, 5400 boul. Gouin ouest, Montréal, Québec, H4J 1C5, Canada. pierre.y.garneau@sympatico.ca.
authors.forename: Pierre Y
authors.initials: PY
authors.lastname: Garneau
mesh_terms: D000328:Adult; D050110:Bariatric Surgery / Q000009:adverse effects* / Q000379:methods; D016063:Blood Loss, Surgical / Q000503:physiopathology*; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D009767:Obesity, Morbid / Q000601:surgery*; D049590:Postpartum Period / Q000502:physiology*; D012307:Risk Factors; D014664:Vasodilation / Q000502:physiology
keywords: Laparoscopic sleeve gastrectomy (LSG); Morbid obesity; Postpartum; Transient portal hypertension