DS & Pregnancy: Two abstracts

[Guest guest]

I have two abstracts on BPD and pregnancy. The DS should be similar

Hull

1. Pregnancies in an 18-Year Follow-up after Biliopancreatic

Diversion.

Friedman D, Cuneo S, Valenzano M, Marinari GM, Adami GF, Gianetta E,

Traverso E, Scopinaro N.

Obes Surg. 1995 Aug;5(3):308-313.

Department of Surgery, University of Genoa School of Medicine, Genoa,

16132, Genoa, Italy.

BACKGROUND: 239 pregnancies occurred in 1136 women who had undergone

biliopancreatic diversion (BPD). METHODS: There were 73 abortions,

and 14 pregnancies are presently in their course. The 152 term

pregnancies (six twins) occurred in 129 women 2-173 months (mean

42.7) after BPD. Mean age and current excess weight were 31.4 years

(20-42) and 29.1%(- 6.9-78.2), and mean excess weight loss was 72.9%

(30.4-110.5). RESULTS: Mean weight gain during pregnancy was 6.2 kg (-

21-25). In 32 patients (21%), parenteral nutritional support was

needed. In all the other patients (79%), the usual supplementations

were given. Of the newborns, 122 were delivered at term (84.7%) with

a mean weight of 2842.4g (1760-4600g) and a mean length of 48.S cm

(43-59 cm), while the 22 preterm babies (15.3%) weighed 2151.1 g

(1400-3850 g) and had a length of 44.6 cm (33-56 cm). Forty infants

(27.8%) were small for gestational age but 17 of them weighed more

than 2500 g. Eleven twins (one, abortion at 26th week) were also

delivered, with a mean weight of 2088.6 g (1200-3100 g) and a mean

length of 45.6 cm (35-50 cm). Delivery was spontaneous in 85

instances (56%), while vacuum extractor was used in one, and 66

cesarean sections were performed. There were two birth malformations,

one infant died after surgery for meconium obstruction and two died

from unknown causes. Of the 129 women, 35 had been infertile before

BPD. CONCLUSIONS: Disappearance of infertility and decrease of

pregnancy risk are to be considered among the beneficial effects of

weight reduction following BPD.

PMID: 10733817 [PubMed - as supplied by publisher]

2. [Pregnancy after surgical therapy of obesity. Bibliographic review

and our experience with biliopancreatic diversion]

Friedman D, Cuneo S, Valenzano M, Marinari GM, Adami G, Vitale B,

Camerini G, Steinweg M, Scopinaro N.

Minerva Ginecol. 1996 Sep;48(9):333-44.

[Article in Italian]

Istituto di Clinica Chirurgica, Universita degli Studi, Genova.

BACKGROUND: An increasing number of women in childbearing age are

submitted to surgical treatment of obesity; for this reason pregnancy

represents a frequent event in operated patients. METHODS: In this

study pregnancy in patients with morbid obesity submitted to

jejunoileal bypass (JIB) and gastric bypass (GB) are reviewed from

the literature and the analysis of our experience with

biliopancreatic diversion (BPD) is reported. RESULTS: In 113

pregnancies after JIB reviewed from the literature, the results seem

to be debated either about the course of pregnancy or about maternal

and neonatal status. The data of literature concerning the

pregnancies following GB are less debated but rather slight. One

hundred and fifty-two pregnancies after BPD have a complete

documentation concerning maternal conditions, modality of outcome and

neonatal situation. CONCLUSIONS: Pregnancy occurred in the obese

women represents an increased maternal-fetal risk. The excess weight

loss, the weight maintenance and the reduced weight changes during

pregnancy are an advantage in the operate women who, in any case,

need accurate controls of the nutritional status during the whole

gestational period. Keeping these cautions pregnancy following

surgical treatment of obesity represents an event not only possible

but even with less problems than in pregnancy in obese women.

PMID: 8999379 [PubMed - indexed for MEDLINE]

Dear Nick,

>

> I was very well researched before I had my Lap BPD/DS. Quite

> honestly, I personally would not have had a BPD/DS and I would have

> opted for a LapBand instead IF I absolutely desired to have more

> children (I have two children already, a boy 10 and a girl 8). I

> have thought about a 3rd baby but I don't really think that I will

> have one at this point. If I absolutely wanted a child or more

> children, I would be leery of the BPD/DS (I think of Joe Frost and

> others with severe complications). I would be afraid to take the

> chance that I would by physically sound to sustain a pregnancy, if

> pregnancy was that important to me (IMHO). So, different strokes

for

> different folks.

>

> Jane J.

> 230/158 (-72 lbs.)

> Lap BPD/DS

> April 26, 2001

> Dr. Ren

>

>

> > You said that the DS isn't the ]

[Guest guest]

Thanks Chris! This topic is of interest to me as I hope to have

children post DS and after the 18 month waiting period. Both

abstracts are enlightening.

I also asked Rabkin about pregnancy post DS at the first support

meeting I went to and he indicated after the waiting period it was

fine. And, that his office had post-DS pregnancies, they just

emphasize that one waits until the losing period is complete.

Cheers,

Amy

Dear Nick,

> >

> > I was very well researched before I had my Lap BPD/DS. Quite

> > honestly, I personally would not have had a BPD/DS and I would

have

> > opted for a LapBand instead IF I absolutely desired to have more

> > children (I have two children already, a boy 10 and a girl 8). I

> > have thought about a 3rd baby but I don't really think that I

will

> > have one at this point. If I absolutely wanted a child or more

> > children, I would be leery of the BPD/DS (I think of Joe Frost

and

> > others with severe complications). I would be afraid to take the

> > chance that I would by physically sound to sustain a pregnancy,

if

> > pregnancy was that important to me (IMHO). So, different strokes

> for

> > different folks.

> >

> > Jane J.

> > 230/158 (-72 lbs.)

> > Lap BPD/DS

> > April 26, 2001

> > Dr. Ren

> >

> >

> > > You said that the DS isn't the ]