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Pregnancy as a cause of gastroesophageal reflux after mini-gastric bypass bariatric surgery (MGB-OAGB). A clinical case

https://doi.org/10.17749/2313-7347.2018.12.2.076-079

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Abstract

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.

About the Authors

V. S. Samoylov
Road Clinical Hospital at the station Voronezh-1 JSC «Russian Railways»
Russian Federation

Samoylov Vladimir Sergeevich – PhD, Head of Department of Endocrine, Metabolic and Visceral Surgery, Bariatric surgeon

2, pereulok Zdorovya, Voronezh, 394000



V. V. Novomlinskiy
Road Clinical Hospital at the station Voronezh-1 JSC «Russian Railways»; Voronezh State Medical University named after N.N. Burdenko, Health Ministry of Russian Federation
Russian Federation

Novomlinskiy Valery Vasilievich – MD, Professor, Awarded Specialist in Healthcare Service, Chief Physician of RCH at the station Voronezh-1 JSC «Russian Railways»; Head of Department of Industrial Medicine

2, pereulok Zdorovya, Voronezh, 394000,

10, Studencheskaya ul., Voronezh, 394036



N. А. Malkina
Road Clinical Hospital at the station Voronezh-1 JSC «Russian Railways»
Russian Federation

Malkina Natalia Alexandrovna – Surgeon, Department of Endocrine, Metabolic and Visceral Surgery

2, pereulok Zdorovya, Voronezh, 394000



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For citation:


Samoylov V.S., Novomlinskiy V.V., Malkina N.А. Pregnancy as a cause of gastroesophageal reflux after mini-gastric bypass bariatric surgery (MGB-OAGB). A clinical case. Obstetrics, Gynecology and Reproduction. 2018;12(2):76-79. (In Russ.) https://doi.org/10.17749/2313-7347.2018.12.2.076-079

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ISSN 2313-7347 (Print)
ISSN 2500-3194 (Online)