[Pregnancy and bariatric surgery: Critical points].
More than 200,000 people underwent obesity surgery in France. Most of them are women. Pregnancy after bariatric surgery is becoming a common situation. This surgery results in major nutritional and gastro-intestinal tract modifications that may influence or be influenced by pregnancy, and yields benefits as well as complications. A multidisciplinary management including a nutritionist, an obstetrician, an anesthesiologist, and a bariatric surgeon is required. The aim of this review is to analyze the impact of bariatric surgery on pregnancy and vice versa, and to identify the key points of this management.
Pôle cœur et métabolisme, centre intégré de l'obésité, hôpital de la Pitié-Salpêtrière, 47-83, boulevard de l'Hôpital, 75013 Paris, France.
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Ciangura
Service de gynécologie obstétrique, hôpital de la Pitié-Salpêtrière, AP-HP, université Pierre-et-Marie-Curie, 75013 Paris, France.
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Nizard
Service de nutrition, hôpital de la Pitié-Salpêtrière, AP-HP, université Pierre-et-Marie-Curie, 75013 Paris, France; Institute of cardiology metabolism and nutrition (ICAN), université Pierre-et-Marie-Curie, 75013 Paris, France.
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Poitou-Bernert
Service de gynécologie obstétrique, hôpital de la Pitié-Salpêtrière, AP-HP, université Pierre-et-Marie-Curie, 75013 Paris, France.
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Dommergues
Pôle cœur et métabolisme, centre intégré de l'obésité, hôpital de la Pitié-Salpêtrière, 47-83, boulevard de l'Hôpital, 75013 Paris, France; Institute of cardiology metabolism and nutrition (ICAN), université Pierre-et-Marie-Curie, 75013 Paris, France.
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Oppert
Pôle cœur et métabolisme, centre intégré de l'obésité, hôpital de la Pitié-Salpêtrière, 47-83, boulevard de l'Hôpital, 75013 Paris, France; Institute of cardiology metabolism and nutrition (ICAN), université Pierre-et-Marie-Curie, 75013 Paris, France. Electronic address: arnaud.basdevant@psl.aphp.fr.
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Basdevant
D000328:Adult; D050110:Bariatric Surgery / Q000009:adverse effects*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000517:prevention & control*
Bariatric surgery; Chirurgie bariatrique; Grossesse; Obesity; Obésité; Pregnancy