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Successful Pregnancy in a Woman of Advanced Maternal Age at Sixteen Months Post-Roux-en-Y Gastric Bypass Revision

Obesity, defined as body mass index (BMI) > 30 kg/m(2), complicates maternal and neonatal outcomes. Bariatric surgery (BS) is an option for weight reduction in several populations, including reproductive-aged women. However, there is a lack of consensus regarding the ideal time interval between B...

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Autores principales: Khasnabish, Srijesa, Irving, Dondre, Nahidi, Seyed Mohammad, Engler, Christopher, Ahmed, Leaque
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10019096/
https://www.ncbi.nlm.nih.gov/pubmed/36938267
http://dx.doi.org/10.7759/cureus.34966
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author Khasnabish, Srijesa
Irving, Dondre
Nahidi, Seyed Mohammad
Engler, Christopher
Ahmed, Leaque
author_facet Khasnabish, Srijesa
Irving, Dondre
Nahidi, Seyed Mohammad
Engler, Christopher
Ahmed, Leaque
author_sort Khasnabish, Srijesa
collection PubMed
description Obesity, defined as body mass index (BMI) > 30 kg/m(2), complicates maternal and neonatal outcomes. Bariatric surgery (BS) is an option for weight reduction in several populations, including reproductive-aged women. However, there is a lack of consensus regarding the ideal time interval between BS and pregnancy. We report the case of a 43-year-old Hispanic female who underwent an initial Roux-en-Y gastric bypass (RYGB) in 2011, followed by a revision eight years later in 2019. The revision entailed the reduction of the gastric pouch size and the excision of the remnant stomach. It occurred sixteen months before the conception of her second pregnancy. Despite advanced maternal age and nutritional challenges following BS, this patient delivered a healthy male neonate and maintained a net weight loss compared to her preoperative weight. Factors leading to this positive outcome included the patient's adherence to dietary recommendations following the procedure and using weight loss adjuncts (phentermine and topiramate) to promote post-procedure weight loss. Sixteen months between RYGB revision and conception can lead to positive pregnancy outcomes, even in women of advanced maternal age and multiple prior BS. Further studies are required to understand better the optimal interval to reduce maternal and neonatal complications following RYGB specifically and the use of medications as weight loss adjuncts.
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spelling pubmed-100190962023-03-17 Successful Pregnancy in a Woman of Advanced Maternal Age at Sixteen Months Post-Roux-en-Y Gastric Bypass Revision Khasnabish, Srijesa Irving, Dondre Nahidi, Seyed Mohammad Engler, Christopher Ahmed, Leaque Cureus Obstetrics/Gynecology Obesity, defined as body mass index (BMI) > 30 kg/m(2), complicates maternal and neonatal outcomes. Bariatric surgery (BS) is an option for weight reduction in several populations, including reproductive-aged women. However, there is a lack of consensus regarding the ideal time interval between BS and pregnancy. We report the case of a 43-year-old Hispanic female who underwent an initial Roux-en-Y gastric bypass (RYGB) in 2011, followed by a revision eight years later in 2019. The revision entailed the reduction of the gastric pouch size and the excision of the remnant stomach. It occurred sixteen months before the conception of her second pregnancy. Despite advanced maternal age and nutritional challenges following BS, this patient delivered a healthy male neonate and maintained a net weight loss compared to her preoperative weight. Factors leading to this positive outcome included the patient's adherence to dietary recommendations following the procedure and using weight loss adjuncts (phentermine and topiramate) to promote post-procedure weight loss. Sixteen months between RYGB revision and conception can lead to positive pregnancy outcomes, even in women of advanced maternal age and multiple prior BS. Further studies are required to understand better the optimal interval to reduce maternal and neonatal complications following RYGB specifically and the use of medications as weight loss adjuncts. Cureus 2023-02-14 /pmc/articles/PMC10019096/ /pubmed/36938267 http://dx.doi.org/10.7759/cureus.34966 Text en Copyright © 2023, Khasnabish et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Obstetrics/Gynecology
Khasnabish, Srijesa
Irving, Dondre
Nahidi, Seyed Mohammad
Engler, Christopher
Ahmed, Leaque
Successful Pregnancy in a Woman of Advanced Maternal Age at Sixteen Months Post-Roux-en-Y Gastric Bypass Revision
title Successful Pregnancy in a Woman of Advanced Maternal Age at Sixteen Months Post-Roux-en-Y Gastric Bypass Revision
title_full Successful Pregnancy in a Woman of Advanced Maternal Age at Sixteen Months Post-Roux-en-Y Gastric Bypass Revision
title_fullStr Successful Pregnancy in a Woman of Advanced Maternal Age at Sixteen Months Post-Roux-en-Y Gastric Bypass Revision
title_full_unstemmed Successful Pregnancy in a Woman of Advanced Maternal Age at Sixteen Months Post-Roux-en-Y Gastric Bypass Revision
title_short Successful Pregnancy in a Woman of Advanced Maternal Age at Sixteen Months Post-Roux-en-Y Gastric Bypass Revision
title_sort successful pregnancy in a woman of advanced maternal age at sixteen months post-roux-en-y gastric bypass revision
topic Obstetrics/Gynecology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10019096/
https://www.ncbi.nlm.nih.gov/pubmed/36938267
http://dx.doi.org/10.7759/cureus.34966
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