Pregnancy as a cause of gastroesophageal reflux after mini-gastric bypass bariatric surgery (MGB-OAGB). A clinical case
The number of post-bariatric patients is increasing from year to year; any medical specialist can see consequences and sometimes complications of these interventions. The variety of different scenarios associated with such patients is not well studied. Mini-gastric bypass (MGB-OAGB) is a major type...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
IRBIS LLC
2018-08-01
|
| Series: | Акушерство, гинекология и репродукция |
| Subjects: | |
| Online Access: | https://www.gynecology.su/jour/article/view/498 |
| _version_ | 1826567181980139520 |
|---|---|
| author | V. S. Samoylov V. V. Novomlinskiy N. А. Malkina |
| author_facet | V. S. Samoylov V. V. Novomlinskiy N. А. Malkina |
| author_sort | V. S. Samoylov |
| collection | DOAJ |
| description | The number of post-bariatric patients is increasing from year to year; any medical specialist can see consequences and sometimes complications of these interventions. The variety of different scenarios associated with such patients is not well studied. Mini-gastric bypass (MGB-OAGB) is a major type of primary or recurrent bariatric surgery in obese patients. Biliary reflux (BR) is one of the most significant late complications of this operation. An increase in the intra-abdominal pressure during pregnancy can lead to the development of BR with its typical clinical symptoms, which may sometimes puzzle an obstetrician-gynecologist. In these cases, there are limitations in using traditional diagnostic approaches and regular medications for conservative treatment of BR. This report presents a clinical observation on a patient who underwent MGB-OAGB as a recurrent bariatric intervention for her morbid obesity. With no signs of gastroesophageal reflux before surgery, soon after it or in the I trimester of pregnancy, a typical clinical picture of BR developed in the II and III trimesters. A complete relief of the BR symptoms after the childbirth (confirmed by gastro-esophago-scopy) suggested a direct connection between the BR and the increase in intra-abdominal pressure during pregnancy. |
| first_indexed | 2024-04-10T04:02:08Z |
| format | Article |
| id | doaj.art-df6dac3f66e14942a3ff2f6ffc6bf6af |
| institution | Directory Open Access Journal |
| issn | 2313-7347 2500-3194 |
| language | Russian |
| last_indexed | 2025-03-14T11:03:28Z |
| publishDate | 2018-08-01 |
| publisher | IRBIS LLC |
| record_format | Article |
| series | Акушерство, гинекология и репродукция |
| spelling | doaj.art-df6dac3f66e14942a3ff2f6ffc6bf6af2025-03-02T10:43:04ZrusIRBIS LLCАкушерство, гинекология и репродукция2313-73472500-31942018-08-01122767910.17749/2313-7347.2018.12.2.076-079460Pregnancy as a cause of gastroesophageal reflux after mini-gastric bypass bariatric surgery (MGB-OAGB). A clinical caseV. S. Samoylov0V. V. Novomlinskiy1N. А. Malkina2Road Clinical Hospital at the station Voronezh-1 JSC «Russian Railways»Road Clinical Hospital at the station Voronezh-1 JSC «Russian Railways»; Voronezh State Medical University named after N.N. Burdenko, Health Ministry of Russian FederationRoad Clinical Hospital at the station Voronezh-1 JSC «Russian Railways»The number of post-bariatric patients is increasing from year to year; any medical specialist can see consequences and sometimes complications of these interventions. The variety of different scenarios associated with such patients is not well studied. Mini-gastric bypass (MGB-OAGB) is a major type of primary or recurrent bariatric surgery in obese patients. Biliary reflux (BR) is one of the most significant late complications of this operation. An increase in the intra-abdominal pressure during pregnancy can lead to the development of BR with its typical clinical symptoms, which may sometimes puzzle an obstetrician-gynecologist. In these cases, there are limitations in using traditional diagnostic approaches and regular medications for conservative treatment of BR. This report presents a clinical observation on a patient who underwent MGB-OAGB as a recurrent bariatric intervention for her morbid obesity. With no signs of gastroesophageal reflux before surgery, soon after it or in the I trimester of pregnancy, a typical clinical picture of BR developed in the II and III trimesters. A complete relief of the BR symptoms after the childbirth (confirmed by gastro-esophago-scopy) suggested a direct connection between the BR and the increase in intra-abdominal pressure during pregnancy.https://www.gynecology.su/jour/article/view/498mini-gastric bypassbariatric surgerybiliary reflux |
| spellingShingle | V. S. Samoylov V. V. Novomlinskiy N. А. Malkina Pregnancy as a cause of gastroesophageal reflux after mini-gastric bypass bariatric surgery (MGB-OAGB). A clinical case Акушерство, гинекология и репродукция mini-gastric bypass bariatric surgery biliary reflux |
| title | Pregnancy as a cause of gastroesophageal reflux after mini-gastric bypass bariatric surgery (MGB-OAGB). A clinical case |
| title_full | Pregnancy as a cause of gastroesophageal reflux after mini-gastric bypass bariatric surgery (MGB-OAGB). A clinical case |
| title_fullStr | Pregnancy as a cause of gastroesophageal reflux after mini-gastric bypass bariatric surgery (MGB-OAGB). A clinical case |
| title_full_unstemmed | Pregnancy as a cause of gastroesophageal reflux after mini-gastric bypass bariatric surgery (MGB-OAGB). A clinical case |
| title_short | Pregnancy as a cause of gastroesophageal reflux after mini-gastric bypass bariatric surgery (MGB-OAGB). A clinical case |
| title_sort | pregnancy as a cause of gastroesophageal reflux after mini gastric bypass bariatric surgery mgb oagb a clinical case |
| topic | mini-gastric bypass bariatric surgery biliary reflux |
| url | https://www.gynecology.su/jour/article/view/498 |
| work_keys_str_mv | AT vssamoylov pregnancyasacauseofgastroesophagealrefluxafterminigastricbypassbariatricsurgerymgboagbaclinicalcase AT vvnovomlinskiy pregnancyasacauseofgastroesophagealrefluxafterminigastricbypassbariatricsurgerymgboagbaclinicalcase AT namalkina pregnancyasacauseofgastroesophagealrefluxafterminigastricbypassbariatricsurgerymgboagbaclinicalcase |