Pregnancy and delivery after antireflux surgery

American Journal of Surgery
Rodrigo GonzalezC D Smith

Abstract

Concerns have been raised that subsequent pregnancy after antireflux surgery (ARS) may predispose to wrap disruption or herniation and adversely affect outcomes. Some surgeons withhold ARS in women of childbearing age for fear of this, but outcomes in this population have not been reported. All childbearing-age women who underwent ARS for gastroesophageal reflux disease (GERD) between January 1991 and July 2000 were asked to complete a detailed questionnaire. Patients with subsequent pregnancies (SP) after ARS were compared with patients without subsequent pregnancies (NP). Ninety-five of the 118 patients (81%) completed the questionnaire at a mean follow-up of 4.9 years. Fifteen patients had 19 subsequent pregnancies after undergoing ARS, and retching and/or vomiting were reported during 13 of the pregnancies (69%). Preoperative incidence of complicated-GERD including strictures (11% vs. 20%), Barrett's esophagus (19% vs. 13%), esophagitis (36% vs. 33%), and ulceration (4% vs. 0%)-were similar between the nonpregnant and pregnant groups. Incidence of postoperative moderate to severe esophageal (7% vs. 8%) and extraesophageal symptoms (0% vs. 6%) were similar between the SP and NP groups. Postoperative prevalence of antisecreto...Continue Reading

References

Mar 1, 1990·British Journal of Obstetrics and Gynaecology·R K Chin
Jun 1, 1995·Surgical Endoscopy·A L DePaulaC A Machado
Jan 1, 1996·American Journal of Surgery·T L TrusJ G Hunter
May 11, 1999·Annals of Surgery·N J Soper, D Dunnegan
Apr 3, 2002·Archives of Surgery·Jean Y LiuLisa M Schwartz
Apr 20, 2002·Surgical Endoscopy·Z T AwadC J Filipi

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Citations

Jan 5, 2006·Surgical Endoscopy·L BierthoM Anvari
Aug 19, 2021·BMJ Case Reports·Abimbola ObisesanVinod Menon

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