medigraphic.com
SPANISH

Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2023, Number 01

<< Back Next >>

Ginecol Obstet Mex 2023; 91 (01)

Pregnancy after gastric sleeve in patients with menstrual irregularities

Sterling-Castaño DK, Abella-Corredor LM, Abreu-Lomba A, Arias-Gómez RH, Vélez-Londoño JP, Martínez-Buitrago DM
Full text How to cite this article

Language: Spanish
References: 20
Page: 11-20
PDF size: 233.55 Kb.


Key words:

Bariatric surgery, Gastric sleeve, Pregnancy, Obesity, Fertility, Menstruation disorder.

ABSTRACT

Objective: To estimate the number of patients with menstrual irregularities who became pregnant after bariatric surgery (gastric sleeve) and to describe the pregnancy outcomes.
Materials and Methods: Retrospective study of a series of cases of obese patients with menstrual irregularities who underwent bariatric surgery (gastric sleeve). They were operated between June 1, 2014 and December 31, 2019 at the Imbanaco Cali Medical Center, Colombia.
Results: Of 1418 bariatric surgeries, gastric sleeve type, 117 patients met the inclusion criteria, 80 of them were located by telephone and agreed to be included in the study. After gastric sleeve, 86.25% (n = 69) of the patients achieved regularization of their menstrual cycles. In addition, 31% (n = 25) achieved pregnancy, 80% (n = 20) of them intended to seek pregnancy. The outcomes of these pregnancies were favorable, with full-term deliveries, with adequate weight and height at birth.
Conclusions: After bariatric surgery, gastric sleeve type, in women with menstrual irregularities, 25 of the 80 patients became pregnant and the obstetric outcomes were satisfactory. Undoubtedly, more prospective studies are needed to be able to affirm, with a better statistical representation, the repercussions of the decrease in body weight on the fertility rate.


REFERENCES

  1. Obesidad y sobrepeso [Internet]. Who.int. 2019 [cited 21 July 2019]. https://www.who.int/es/news-room/factsheets/detail/obesity-and-overweight.

  2. Practice Committee of the American Society for ReproductiveMedicine. Obesity and reproduction: a committeeopinion. Fertil Steril 2015; 104 (5): 1116-26. doi:10.1016/j.fertnstert.2015.08.018

  3. Colombia M. Encuesta Nacional de Situación Nutricional(ENSIN). Minsalud.gov.co. 2019. https://www.minsalud.gov.co/salud/publica/epidemiologia/Paginas/encuestanacional-de-situacion-nutricional-ensin.aspx.

  4. ACOG Practice Bulletin No. 105: Bariatric Surgery andPregnancy. Obstetrics & Gynecology. 2009; 113 (6): 1405-13. doi:10.1097/AOG.0b013e3181ac0544

  5. Best D, Avenell A, Bhattacharya S. How effective are weightlossinterventions for improving fertility in women and menwho are overweight or obese? A systematic review andmeta-analysis of the evidence. Human Reproduction Update2017; 23 (6): 681-705. doi:10.1093/humupd/dmx027

  6. Vander Borght M, Wyns, C. Fertility and infertility: Definitionand epidemiology. Clinical Biochemistry 2018; 62:2-10. https://doi.org/10.1016/j.clinbiochem.2018.03.012

  7. Mayir B, Akpinar Mayir Y. Bariatric surgery and fertility.Bezmialem Science 2018; 63-66. https://doi.org/10.14235/bs.2018.1650

  8. Baharuddin Pg DM, et al. Bariatric surgery and its impacton fertility, pregnancy and its outcome: A narrative review.Ann Med Surg 2021; 72: 103038. https://doi.org/10.1016/j.amsu.2021.103038

  9. Harreiter J, Schindler K, Bancher-Todesca D, Göbl C,Langer F, Prager G, et al. Management of PregnantWomen after Bariatric Surgery. J Obesity 2018; 1-14.doi:10.1155/2018/4587064

  10. Snoek KM, Steegers-Theunissen RPM, Hazebroek EJ,Willemsen SP, Galjaard S, et al. The effects of bariatricsurgery on periconception maternal health: a systematicreview and meta-analysis. Hum Reprod Update 2021; 27(6): 1030-55. doi:10.1093/humupd/dmab022

  11. Munro MG, Critchley HO, Broder MS, Fraser IS, FIGO WorkingGroup on Menstrual Disorders. FIGO classification system(PALM-COEIN) for causes of abnormal uterine bleedingin nongravid women of reproductive age. Int J GynecaolObstet 2011; 113 (1): 3-13. doi: 10.1016/j.ijgo.2010.11.011

  12. Milone M, De Placido G, Musella M, Sosa Fernandez LM,Sosa Fernandez LV, et al. Incidence of successful pregnancyafter weight loss interventions in infertile women: a systematicreview and meta-analysis of the literature. Obesity Surgery2016; 26 (2): 443-51. doi: 10.1007/s11695-015-1998-7

  13. Falcone V, Stopp T, Feichtinger M, Kiss H, Eppel W, HussleinPW, Göbl CS. Pregnancy after bariatric surgery: a narrativeliterature review and discussion of impact on pregnancymanagement and outcome. BMC Pregnancy and Childbirth2018; 18 (1): 1-13. https://doi.org/10.1186/s12884-018-2124-3

  14. Silvestris E, de Pergola G, Rosania R, et al. Obesity asdisruptor of the female fertility. Reprod Biol Endocrinol2018; 16: 22. https://doi.org/10.1186/s12958-018-0336

  15. Różańska-Walędziak A, Bartnik P, Kacperczyk-Bartnik J,Czajkowski K, Walędziak M, Kwiatkowski A. Pregnancy afterbariatric surgery - a narrative literature review. WideochirInne Tech Maloinwazyjne 2021; 16 (1): 30-37. doi:10.5114/wiitm.2020.99281

  16. Akhter Z, Rankin J, Ceulemans D, Ngongalah L, Ackroyd R,Devlieger R, Heslehurst N. Pregnancy after bariatric surgeryand adverse perinatal outcomes: a systematic review andmeta-analysis. PLoS Medicine 2019; 16 (8): e1002866. doi:10.1371/journal.pmed.1002866

  17. Gascoin G, Gerard M, Sallé A, Becouarn G, Rouleau S,Sentilhes L, Coutant R. Risk of low birth weight and micronutrientdeficiencies in neonates from mothers aftergastric bypass: a case control study. Surg Obes Relat Dis2017; 13 (8): 1384-91. doi:10.1016/j.soard.2017.03.017

  18. Ducarme G, Parisio L, Santulli P, Carbillon L, Mandelbrot L,Luton D. Neonatal outcomes in pregnancies after bariatricsurgery: a retrospective multi-centric cohort study in threeFrench referral centers. J Matern Fetal Neonatal Med 2013;26 (3): 275-78. doi: 10.3109/14767058.2012.735723

  19. Sheiner E, Balaban E, Dreiher J, Levi I, Levy A. Pregnancyoutcome in patients following different types of bariatricsurgeries. Obesity Surgery 2009; 19 (9): 1286-92. doi:10.1007/s11695-009-9920-9

  20. Merhi Z. Impact of bariatric surgery on female reproduction.Fertil Steril 2009; 92 (5): 1501-508. doi:10.1016/j.fertnstert.2009.06.046




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Ginecol Obstet Mex. 2023;91