Obstetrics and Gynaecology, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, Stoke-on-Trent, UK
Obstetrics and Gynaecology, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, Stoke-on-Trent, UK.
BMJ Case Rep. 2020 Oct 30;13(10):e236919. doi: 10.1136/bcr-2020-236919.
Bariatric surgery is often a definitive treatment for obesity and is increasingly being performed on women of childbearing age. While bariatric surgery may reduce the risk of obesity in pregnancy, there are new complications which can develop following these procedures. Our case describes a 31-year-old women who presented in the puerperium with a life-threatening upper gastrointestinal bleed secondary to marginal ulceration following a Roux-en-Y procedure. This case report discusses a rare case of acute upper gastrointestinal bleed in the postnatal period and highlights the risk factors and complications which may present in the obstetrical patient following bariatric surgery. With the increasing use of weight loss surgery in obese women and the associated improvement in fertility following, we must remain aware of the risks and these women should be identified at booking so that their antenatal and postnatal care can be tailored accordingly.
减重手术通常是肥胖的一种确定性治疗方法，越来越多地用于育龄妇女。虽然减重手术可能会降低妊娠肥胖的风险，但这些手术后会出现新的并发症。我们的病例描述了一位 31 岁的女性，她在产后出现危及生命的上消化道出血，原因是 Roux-en-Y 手术后出现边缘性溃疡。本病例报告讨论了产后期间罕见的急性上消化道出血，并强调了肥胖患者接受减重手术后可能出现的风险因素和并发症。随着肥胖女性中减肥手术的使用日益增加，以及随之而来的生育能力的改善，我们必须意识到这些风险，在预约时识别这些女性，以便相应地调整她们的产前和产后护理。
