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Obesity Surgery
Published in: Obesity Surgery 8/2016

01-08-2016 | Original Contributions

Impact of Pregnancy on Weight Loss and Quality of Life Following Gastric Banding

Authors: Chrysoula Papastathi, Emmanuel Disse, Julien Berthiller, Martine Laville, Christian Gouillat, Maud Robert

Published in: Obesity Surgery | Issue 8/2016

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Abstract

Background-Objectives

Despite pregnancy being a common event following laparoscopic adjustable gastric banding (LAGB), there is little comprehensive data regarding its effect on postoperative outcome. The aim of this study was to assess the impact of pregnancy on the postoperative changes in quality of life (QOL) and total weight loss 3 years after LAGB.

Setting

Multi-institutional, France.

Methods

This is a study of the subgroup of 561 women of childbearing age included in a 3-year prospective multicenter trial assessing the results of patients undergoing LAGB surgery. Data from the 61 women who got pregnant and delivered during the follow-up period were compared with the 270 who did not.

Results

Pregnant women achieved lower final weight loss compared to the non-pregnant group [final body mass index (BMI) 35.4 vs. 31.1 kg/m2, p < 0.0001; excess weight loss (%EBL) 43.6 vs. 64.7 %, p < 0.0001]. Longitudinal assessment demonstrated pregnancy as a significant and independent factor of poor weight loss (p < 0.0001). The timing of conception after LAGB (between the first 18 months or after) had no significant impact on weight loss changes. There was no significant difference in short form-36 health survey (SF-36) QOL scores between both groups.

Conclusions

Pregnancy following gastric banding affects negatively postoperative final weight loss, even if occurring 18 months postoperatively, but has no effect on QOL improvement.
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Metadata
Title
Impact of Pregnancy on Weight Loss and Quality of Life Following Gastric Banding
Authors
Chrysoula Papastathi
Emmanuel Disse
Julien Berthiller
Martine Laville
Christian Gouillat
Maud Robert
Publication date
01-08-2016
Publisher
Springer US
Published in
Obesity Surgery / Issue 8/2016
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-015-2011-1

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