Pregnancy Following Bariatric Surgery—Medical Complications and Management

摘要: Bariatric surgery is most commonly carried out in women of childbearing age. Whilst fertility rates are improved, pregnancy following bariatric poses several challenges. many adverse maternal and foetal outcomes obese reduced after surgery, best avoided for 12–24 months to reduce the potential risk intrauterine growth retardation. Dumping syndromes common can present diagnostic therapeutic challenges pregnancy. Early dumping occurs due osmotic fluid shifts resulting from rapid gastrointestinal food transit, whilst late characterized by a hyperinsulinemic response absorption simple carbohydrates. Dietary measures mainstay management but pharmacotherapy may sometimes become necessary. Acarbose least hazardous pharmacological option postprandial hypoglycemia Nutrient deficiencies vary depending on type surgery; it important optimize nutritional status prior during should include adequate protein calorie intake supplementation vitamins micronutrients. A high clinical index suspicion required early diagnosis surgical complications weight loss procedures pregnancy, including small bowel obstruction, internal hernias, gastric band erosion or migration cholelithiasis.