Abstract
The aim of this study is to evaluate short- and long-term consequences in children born to women after different bariatric surgery (BS) procedures. A questionnaire survey was given to the mothers referred from 1994 to 2019 to our center for pregnancy and delivery management after BS procedures: (a) malabsorptive surgery, (b) restrictive procedures, and (c) combined restrictive-malabsorptive procedures. Data from 74 children born after BS, aged 0 month to 12 years, were analyzed. The prevalence of children with underweight was 5.4%, normal weight 59.5%, overweight 16.2%, and obesity 18.9%. The prevalence of obesity was higher in children pre-school aged than that in school-aged ones. Neurodevelopmental disorders were more frequent if maternal BMI before bariatric surgery was ≥ 41 kg/m2 (p = 0.008), as well as if the pregnancy occurred less than 18 months after BS (p = 0.028). In school-aged children conceived within 18 months after BS, the highest risk of neurodevelopmental disorders (p = 0.028) and overweight (p = 0.018) was observed. The prevalence of neurodevelopmental disorders was much higher for small for gestational age babies (p = 0.048). Children born after biliopancreatic diversion (BPD) showed less maternal breastfeed...Continue Reading
References
Sep 25, 2001·Journal of the American Academy of Dermatology·M GdalevichM Mimouni
Jun 20, 2006·Physiology & Behavior·D S Fernandez-Twinn, S E Ozanne
Sep 23, 2006·Obesity Surgery·Olivier HueNormand Teasdale
Dec 5, 2006·Pediatrics·John G KralPicard Marceau
Oct 8, 2009·Current Opinion in Obstetrics & Gynecology·Kathleen M RasmussenAnn L Yaktine
Oct 13, 2009·The Journal of Clinical Endocrinology and Metabolism·J SmithP Marceau
Jul 6, 2010·Journal of Pediatric Gastroenterology and Nutrition·Enrico BertinoSilvano Milani
May 4, 2011·Journal of General Internal Medicine·Raj PadwalMarcello Tonelli
Nov 19, 2011·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Michela BarisioneGian Franco Adami
Aug 29, 2012·Obesity Surgery·Joanna PicotAndrew J Clegg
May 30, 2013·Proceedings of the National Academy of Sciences of the United States of America·Frédéric GuénardMarie-Claude Vohl
Oct 10, 2013·Journal of Women's Health·Meghana D GadgilWendy L Bennett
Dec 19, 2013·PloS One·Mikaela WillmerFinn Rasmussen
Mar 25, 2015·Pediatric Diabetes·Hong Chang TanFida Bacha
Oct 17, 2016·The Lancet. Diabetes & Endocrinology·Keith M GodfreyBirit F P Broekman
May 24, 2017·Obesity Surgery·Scott KizyDaniel Leslie
Jul 22, 2017·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Lianna Hede HammekenCharlotte Overgaard
Oct 31, 2017·Journal of Pregnancy·J HazartY Boirie
Jan 10, 2018·Pediatric Pulmonology·Päivi KorhonenOuti Tammela
Jun 18, 2018·Obesity Surgery·S De CarolisA Lanzone