| Reproductive outcome after bariatric surgery: a critical review. | |
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MedLine Citation:
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PMID: 19136457 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: After many cycles of weight loss and weight gain, more and more morbidly obese patients undergo bariatric surgery, like gastric banding or gastric bypass, as the ultimate treatment for their obesity-problem. Since women of reproductive age are candidates for bariatric surgery, concerns arise regarding the potential impact on future pregnancy. METHODS: English-language articles were identified in a PUBMED search from 1982 to January 2008 using the keywords for pregnancy and bariatric surgery or gastric bypass or gastric banding. RESULTS: The few reported case-control and cohort studies clearly show improved fertility and a reduced risk in obstetrical complications, including gestational diabetes, macrosomia and hypertensive disorders of pregnancy, in women after operatively induced weight loss when compared with morbidly obesity women. The incidence of intrauterine growth restriction (IUGR) appears to be increased, however. No conclusions can be drawn concerning the risk for preterm labour and miscarriage, although these risks are probably increased compared with controls matched for body mass index. Operative complications are not uncommon with bariatric surgery and several cases have pointed to the increased risk for intestinal hernias and nutritional deficiencies in subsequent pregnancy. Deficiencies in iron, vitamin A, vitamin B(12), vitamin K, folate and calcium can result in both maternal complications, such as severe anaemia, and fetal complications, such as congenital abnormalities, IUGR and failure to thrive. CONCLUSIONS: Close supervision before, during and after pregnancy following bariatric surgery and nutrient supplementation adapted to the patient's individual requirements can help to prevent nutrition-related complications and improve maternal and fetal health, in this high-risk obstetric population. |
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Authors:
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Isabelle Guelinckx; Roland Devlieger; Greet Vansant |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Review Date: 2009-01-08 |
Journal Detail:
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Title: Human reproduction update Volume: 15 ISSN: 1460-2369 ISO Abbreviation: Hum. Reprod. Update Publication Date: 2009 Mar-Apr |
Date Detail:
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Created Date: 2009-02-05 Completed Date: 2009-04-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9507614 Medline TA: Hum Reprod Update Country: England |
Other Details:
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Languages: eng Pagination: 189-201 Citation Subset: IM |
Affiliation:
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Department of Nutrition-Preventive Medicine, Leuven Food Science and Nutrition Research Centre, University Hospital Gasthuisberg, Catholic University Leuven, Belgium. isabelle.guelinckx@med.kuleuven.be |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Bariatric Surgery* Case-Control Studies Cohort Studies Female Fertility Fetal Growth Retardation / epidemiology Humans Incidence Postoperative Complications* Pregnancy Pregnancy Complications / epidemiology* Pregnancy Outcome Risk Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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