Glucose Homeostasis, Fetal Growth and Gestational Diabetes Mellitus in Pregnancy after Bariatric Surgery: A Scoping Review

摘要: Background: Pregnancies in women with a history of bariatric surgery are becoming increasingly prevalent. Surgically induced metabolic changes benefit mother and child, but can also lead to some adverse pregnancy outcomes. Knowledge about glucose homeostasis these pregnancies could elucidate the mechanisms behind This review focusses on birth weight. Methods: We considered papers dealing homeostasis, gestational diabetes mellitus (GDM) and/or small-for-gestational age infants (SGA) sleeve gastrectomy (SG) or Roux-en-y gastric bypass (RYGB). Results: Since an OGTT is unreliable diagnose GDM after surgery, true incidence unknown. Alternative screening strategies needed. Furthermore, marked by frequent hypoglycemic events as well wide rapid glycemic excursions, issue that very likely underreported. There lack uniformity reporting key outcomes large variation study design control population. Conclusion: Alteration should be further studied using unequivocal definition concepts. Glycemic may prove modifiable risk factor for such delivery SGA baby.