Roux-en-Y gastric bypass-associated bowel obstruction complicating pregnancy–an obstetrician's map to the clinical minefield

Internal Herniation in Pregnancy After Gastric Bypass

“…Similar treatment delays have been reported for intestinal obstruction in pregnancy resulting from other causes (eg, volvulus, intussusception). 7,28 Early diagnosis is further complicated by a lack of striking clinical or laboratory findings in a majority of cases and a sensitivity of computed tomography and MRI of only 75%. Moreover, in some cases, care providers were reticent to use imaging as a result of the presence of the pregnancy.…”

“…The physiologic changes of pregnancy can mask its symptoms, leading to a delay in treatment and poor outcomes. 7 The aim of this article is to assess maternal and fetal outcomes of pregnancies complicated by internal herniation after Roux-en-Y gastric bypass.…”

Impact of bariatric surgery on fetal growth restriction: experience of a perinatal and bariatric surgery center

“…[8][9][10][11] However, bariatric surgery can lead to complications, in particular intestinal occlusions through various mechanisms, which can have severe consequences during pregnancy. 12,13 Moreover, the fact that bariatric surgery could favor fetal growth restriction is a major concern. A small increase in the rate of small for gestational age (SGA) was found in several studies, 9,10,14,15 although there are conflicting data.…”

Obesity: Implications for Women’s Reproductive Health

“…Clinicians should be attentive to gastrointestinal complaints and abdominal pain in pregnant women who have undergone bariatric surgery due to reported serious complications such as bowel obstruction, anastomotic leaks, hernias, and gastric rupture or band migration [85][86][87]. Women with gastric banding may require removal of fluid from the band to relieve nausea and vomiting or to achieve adequate nutritional intake.…”