BACKGROUND: With no evidence to guide management of the gastric band in pregnancy, we aim to compare outcomes according to band management. METHODS: Data were collected on all women pregnant (November 2011-October 2012) following gastric banding, using the UK Obstetric Surveillance System surveillance system. We compared outcomes between band management groups and with national data. RESULTS: Band management was variable; deflation 43.4%, inflation maintained 56.6%. The deflation group had lower risk of small for gestational age infants (no cases vs. 11.3%; risk ratio = 0.14, p = 0.05). There was greater gestational weight gain (deflation 15.4 kg, inflation 7.6 kg; adjusted p = 0.05), and perhaps higher risk of gestational hypertension (deflation 10.5%, inflation no cases; p = 0.08) in the deflation group. Other maternal outcomes were similar between management groups but overall worse than national data. CONCLUSIONS: Deflation is associated with better outcomes for babies but worse outcomes for mothers than maintained inflation.
BACKGROUND: With no evidence to guide management of the gastric band in pregnancy, we aim to compare outcomes according to band management. METHODS: Data were collected on all women pregnant (November 2011-October 2012) following gastric banding, using the UK Obstetric Surveillance System surveillance system. We compared outcomes between band management groups and with national data. RESULTS: Band management was variable; deflation 43.4%, inflation maintained 56.6%. The deflation group had lower risk of small for gestational age infants (no cases vs. 11.3%; risk ratio = 0.14, p = 0.05). There was greater gestational weight gain (deflation 15.4 kg, inflation 7.6 kg; adjusted p = 0.05), and perhaps higher risk of gestational hypertension (deflation 10.5%, inflation no cases; p = 0.08) in the deflation group. Other maternal outcomes were similar between management groups but overall worse than national data. CONCLUSIONS: Deflation is associated with better outcomes for babies but worse outcomes for mothers than maintained inflation.
Authors: Jan P Vandenbroucke; Erik von Elm; Douglas G Altman; Peter C Gøtzsche; Cynthia D Mulrow; Stuart J Pocock; Charles Poole; James J Schlesselman; Matthias Egger Journal: Int J Surg Date: 2014-07-18 Impact factor: 6.071
Authors: Kari Johansson; Sven Cnattingius; Ingmar Näslund; Nathalie Roos; Ylva Trolle Lagerros; Fredrik Granath; Olof Stephansson; Martin Neovius Journal: N Engl J Med Date: 2015-02-26 Impact factor: 91.245
Authors: Abdullah A Mamun; Leonie K Callaway; Michael J O'Callaghan; Gail M Williams; Jake M Najman; Rosa Alati; Alexandra Clavarino; Debbie A Lawlor Journal: BMC Pregnancy Childbirth Date: 2011-09-06 Impact factor: 3.007
Authors: Roch Cantwell; Thomas Clutton-Brock; Griselda Cooper; Andrew Dawson; James Drife; Debbie Garrod; Ann Harper; Diana Hulbert; Sebastian Lucas; John McClure; Harry Millward-Sadler; James Neilson; Catherine Nelson-Piercy; Jane Norman; Colm O'Herlihy; Margaret Oates; Judy Shakespeare; Michael de Swiet; Catherine Williamson; Valerie Beale; Marian Knight; Christopher Lennox; Alison Miller; Dharmishta Parmar; Jane Rogers; Anna Springett Journal: BJOG Date: 2011-03 Impact factor: 6.531