PMID- 28383368
DCOM- 20170710
LR  - 20180714
IS  - 1873-233X (Electronic)
IS  - 0029-7844 (Linking)
VI  - 129
IP  - 5
DP  - 2017 May
TI  - Risk of Abdominal Surgery in Pregnancy Among Women Who Have Undergone Bariatric
PG  - 887-895
LID - 10.1097/AOG.0000000000001975 [doi]
AB  - OBJECTIVE: To compare the rates of abdominal surgery during pregnancy among women
      with previous bariatric surgery (women in the case group) and women with
      first-trimester body mass index (BMI) greater than 35 and no previous bariatric
      surgery (women in the control group). METHODS: We conducted a national cohort
      study, merging data from the Swedish Medical Birth Registry and the Swedish
      National Patient Registry, comparing women who had bariatric surgery from 1987 to
      2011 with women in a control group with first-trimester BMI greater than 35 who
      had not had bariatric surgery. Primary outcome variables were diagnosis and
      surgical procedure codes grouped as five outcome categories: 1) intestinal
      obstruction, 2) gallbladder disease, 3) appendicitis, 4) hernia, and 5)
      diagnostic laparoscopy or laparotomy without the presence of a diagnosis or
      surgical code for outcomes in outcome categories 1-4. Odds ratios were computed
      using multivariate linear regression analysis for each separate pregnancy. For
      all pregnancies in a given woman, general estimating equations with robust
      variance estimation were used. Adjustment was made for smoking, year of delivery,
      maternal age, and previous abdominal surgery. RESULTS: During the first pregnancy
      after bariatric surgery, the rate of surgery for intestinal obstruction was 1.5% 
      (39/2,543; 95% confidence interval [CI] 1.1-2.0%) in women in the case group
      compared with 0.02% (4/21,909; 95% CI 0.0-0.04%) among women in the control group
      (adjusted odds ratio [OR] 34.3, 95% CI 11.9-98.7). Similarly, the rate of
      diagnostic laparoscopy or laparotomy was 1.5% (37/2,542; 95% CI 1.0-1.9%) among
      women in the case group compared with 0.1% (18/21,909; 95% CI 0.0-0.1%) among
      women in the control group (adjusted OR 11.3, 95% CI 6.9-18.5). CONCLUSION:
      Bariatric surgery is associated with an increased risk of abdominal surgery
      during pregnancy.
FAU - Stuart, Andrea
AU  - Stuart A
AD  - Department of Obstetrics and Gynecology, Central Hospital, Helsingborg, and the
      Department of Obstetrics and Gynecology, Clinical Sciences Lund, and the
      Reproductive Epidemiology Center, Lund University, Lund, Sweden.
FAU - Kallen, Karin
AU  - Kallen K
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Obstet Gynecol
JT  - Obstetrics and gynecology
JID - 0401101
SB  - IM
MH  - Abdomen/surgery
MH  - Adult
MH  - *Bariatric Surgery
MH  - Cohort Studies
MH  - Female
MH  - Humans
MH  - Laparoscopy
MH  - *Obesity
MH  - Pregnancy
MH  - Pregnancy Complications/*epidemiology/surgery
MH  - Pregnancy Outcome
MH  - Registries
MH  - Risk Factors
MH  - Sweden/epidemiology
EDAT- 2017/04/07 06:00
MHDA- 2017/07/14 06:00
CRDT- 2017/04/07 06:00
PHST- 2017/04/07 06:00 [pubmed]
PHST- 2017/07/14 06:00 [medline]
PHST- 2017/04/07 06:00 [entrez]
AID - 10.1097/AOG.0000000000001975 [doi]
PST - ppublish
SO  - Obstet Gynecol. 2017 May;129(5):887-895. doi: 10.1097/AOG.0000000000001975.