Reproductive implications of bariatric surgery: Pre- and postoperative considerations for extremely obese women of childbearing age

Ellen J. Landsberger, Edith D. Gurewitsch

Research output: Contribution to journalReview article

5 Scopus citations

Abstract

Extreme obesity remains a frustrating and formidable disease, with most sufferers requiring surgical intervention in order to achieve long-term, sustained weight loss. Most bariatric procedures today are performed on women, many of whom are of reproductive age; yet minimal evidence exists to guide clinicians in the care of such women before, during, and after pregnancy. This review outlines the fundamental nutritional and surgical alterations of the most commonly performed bariatric procedures with the aim to elucidate a physiologically sound approach to counseling and management of extremely obese women of childbearing age who are either contemplating or have already undergone bariatric surgery. Preconception, pregnancy, and lactation guidelines are offered based on available evidence. Outstanding questions are highlighted for further investigation.

Original languageEnglish (US)
Pages (from-to)281-288
Number of pages8
JournalCurrent diabetes reports
Volume7
Issue number4
DOIs
StatePublished - Aug 1 2007

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

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