Does pregnancy interval after laparoscopic sleeve gastrectomy affect maternal and perinatal outcomes?

Basit Öğe Kaydı
dc.contributor.authorBaşbuğ, Alper
dc.contributor.authorKaya, Aşkı Ellibeş
dc.contributor.authorDoğan, Sami
dc.contributor.authorPehlivan, Mevlüt
dc.contributor.authorGöynümer, Gökhan
dc.date.accessioned2020-05-01T09:11:29Z
dc.date.available2020-05-01T09:11:29Z
dc.date.issued2019
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionELLIBES KAYA, ASKI/0000-0002-1323-7416; GOYNUMER, FIKRET GOKHAN/0000-0002-3739-6008en_US
dc.descriptionWOS: 000478603200010en_US
dc.descriptionPubMed: 29712482en_US
dc.description.abstractBackground: Obesity is a global health epidemic and is associated with many maternal and neonatal complications. Laparoscopic sleeve gastrectomy (LSG) is among the surgical treatments for obesity. The appropriate timing of pregnancy following LSG remains controversial and few studies have evaluated this public health issue. Objective: To evaluate the effect of pregnancy timing after LSG on maternal and perinatal outcomes. Study design: We performed a retrospective observational study of 23 pregnant women who underwent LSG at a tertiary hospital in Turkey. Women who became pregnant within 18 months of undergoing LSG were included in the early pregnancy after LSG group, and those who became pregnant after 18 months were included the late pregnancy after LSG group. Maternal and perinatal outcomes were evaluated, including gestational diabetes mellitus (GDM), pregnancy-associated hypertensive disorders, preterm birth, mode of delivery, small and large for gestational age births (small for gestational age (SGA), large for gestational age (LGA)), birth injury, and congenital malformations. Results: Body mass index (BMI) at conception was higher in the early pregnancy after LSG group than in the late pregnancy after LSG group (30.48 versus 27.25, respectively; p = .03). Pregnancy interval after LSG did not impact maternal-fetal complications or mode of delivery. After a 75 g oral glucose tolerance test (OGTT) for GDM, 75% (n = 6) of the early pregnancy group presented with early dumping syndrome, compared to only 13.3% (n = 2) of the late pregnancy after LSG group (p = .009). Conclusions: LSG may reduce obesity-related gestational complications, such as GDM and LGA. The interval between LSG and conception did not impact maternal or neonatal outcomes. Screening for GDM can result in dumping syndrome in pregnancies after LSG.en_US
dc.identifier.doi10.1080/14767058.2018.1471678en_US
dc.identifier.endpage3770en_US
dc.identifier.issn1476-7058
dc.identifier.issn1476-4954
dc.identifier.issue22en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage3764en_US
dc.identifier.urihttps://doi.org/10.1080/14767058.2018.1471678
dc.identifier.urihttps://hdl.handle.net/20.500.12684/5620
dc.identifier.volume32en_US
dc.identifier.wosWOS:000478603200010en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherTaylor & Francis Ltden_US
dc.relation.ispartofJournal Of Maternal-Fetal & Neonatal Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBariatric surgeryen_US
dc.subjectdumping syndromeen_US
dc.subjectlaparoscopic sleeve gastrectomyen_US
dc.subjectpregnancy complicationsen_US
dc.subjectpregnancy intervalen_US
dc.titleDoes pregnancy interval after laparoscopic sleeve gastrectomy affect maternal and perinatal outcomes?en_US
dc.typeArticleen_US

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
Küçük Resim Yok
İsim:
5620.pdf
Boyut:
136.36 KB
Biçim:
Adobe Portable Document Format
Açıklama:
Tam Metin / Full Text
İndir

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
Makale Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu