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[可调节胃束带治疗病态肥胖后的妊娠与分娩]

[Pregnancy and labor after adjustable gastric banding for therapy of morbid obesity].

作者信息

Hoda M Raschid, Rasoul-Rockenschaub Susanne, Felberbauer Franz X, Prager Gerhard, Széles Josef C, Dadgar Nazak, Wenzl Etienne

机构信息

Klinische Abteilung für Allgemeinchirurgie, Universitätsklinik für Chirurgie, Wien, Osterreich.

出版信息

Wien Klin Wochenschr. 2002 Sep 30;114(17-18):781-4.

Abstract

Surgical placement of an adjustable gastric band has become a widely used method for treatment of morbid obesity. As a consequence, a higher number of pregnancies after weight loss is observed. Information is limited on pregnancy outcome after gastric banding, whereas metabolic and nutritional complications are reported after gastric bypass procedures. We report on two cases of pregnancy after laparoscopic gastric banding. Both patients had uncomplicated full-term pregnancies. In both cases, neither during nor after the pregnancy fluid removal from the gastric band was necessary. There seems to be a low probability for gestational and metabolic complications in pregnancy due to gastric banding. However, more specific information about pregnancies and fetal outcomes after gastric banding in a larger patient population would be desirable.

摘要

可调节胃束带的手术置入已成为治疗病态肥胖的一种广泛使用的方法。因此,减肥后怀孕的人数有所增加。关于胃束带术后妊娠结局的信息有限,而胃旁路手术后有代谢和营养并发症的报道。我们报告两例腹腔镜胃束带术后妊娠的病例。两名患者均顺利足月妊娠。在这两个病例中,孕期及产后均无需从胃束带中抽出液体。胃束带导致妊娠期间出现妊娠和代谢并发症的可能性似乎较低。然而,在更大规模的患者群体中获取更多关于胃束带术后妊娠及胎儿结局的具体信息将是很有必要的。

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