January 2018 Vol. 6 No.1

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Original Research Article

Outcome of pregnancy and neonate after Laparoscopic Sleeve Gastrectomy: Retrospective study, two centers assessment, 145 cases

¹Dr. Fahad Yaslam Bamehriz MD, ²Saleh Abdulaziz Almansour, ^*2Mohammed Omar Alqithmi, ²Abdulrahman Mansour Alfawaz, ²AbdulAziz Mohammed Almontshri, ²Naif Abdulrahman Alarjani, ²Faisal Nasser Alshuwair, ³Frhan Iaed Alanazi,
⁴Raneem Hussain Alotaibi, ⁴Kholoud Hashish Albaqmi, ⁴Rahma Abdulrahman Alshehri, ⁴Nouf Abdulmohsin Alrushaid and
⁵Dr. Abdulrahman Mohammed Salem M.D.

¹Ass. Prof & Consultant Advanced Laparoscopic Bariatric, Robotic Surgery
²Medical Intern at King Saud University
³B.S. Paramedic.
⁴Fifth-year medical student at king Saud university
⁵Consultant Advanced Laparoscopic Bariatric at SMC

*Corresponding Author’s E-mail: malqathmi@outlook.com

Accepted January 23, 2018

Abstract

Obesity is a major global growing public-health problem. About 25% of women are suffering from obesity, of which one-third are at child bearing age (from 18 to 45 years old). Laparoscopic Sleeve Gastrectomy (LSG) is one of the main bariatric surgeries known to be safe and effective in weight reduction. However, little is known about pregnancy and neonate outcomes post LSG. A retrospective study was done in Riyadh, KSA. Data were collected from two centers in King Khalid University Hospital (KKUH) and Specialized Medical Center (SMC). From a total of 145 pregnancies in 106 females, there were 21 spontaneous abortions (14.5%), 13 preterm deliveries (10%), 45 Caesarean sections (36.3%) and six females having complications during their pregnancy (4.2%). Two cases ended up with the death of the neonate (1.6 %). Also, two cases had abnormalities (1.6 %). Thirty-eight neonatal births with a weight less than 2.5 kg (30.6%) were observed and the mean birth weight was calculated to be 2.6 kg (S.D ± 0.6 kg). After comparing our results with literature, we can conclude that females post LSG have complications on pregnancy and neonate much less than obese females because of weight reduction. On the other hand, LSG is associated with a high rate of low birth in Saudi population, but the cause is still not clear. A good follow-up post-LSG and nutritional advice could improve the outcome.

Keywords: Pregnancy; Neonate; LSG.