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Nutrition for pregnancy after metabolic and bariatric surgery: literature review and practical guide
Affiliation:1. Private practice, Los Angeles, California;2. Alberta Health Services, Edmonton, Alberta, Canada;3. Department of General Surgery, University of South Dakota Sanford School of Medicine, Vermillion, South Dakota;1. Department of Minimally Invasive Digestive Surgery, Antoine Béclère Hospital, Clamart, France;2. Paris-Saclay University, Orsay, France;3. Department of Radiology, Antoine Béclère Hospital, Clamart, France;4. Department of Hepato-Gastroenterology and Nutrition, Antoine Béclère Hospital, Clamart, France;5. Interventional Endoscopy Unit, Private Hospital Des Peupliers-Ramsay Santé, Paris, France;1. Department of Research & Development, Chelsea & Westminster Hospital, London, United Kingdom;2. Academic Department of Obstetrics and Gynaecology, Department of Metabolism, Digestion and Reproduction, Imperial College London, Chelsea & Westminster Hospital, London, United Kingdom;3. Fetal Medicine Unit, Chelsea & Westminster Hospital, London, United Kingdom;1. Department of Obstetrics and Gynecology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel;2. Department of Nutrition, Hadassah-Hebrew University Medical Center, Ein-Kerem Campus, Jerusalem, Israel;3. Department of Obstetrics and Gynecology, Shaare Zedek Medical Center, Jerusalem, Israel;4. Department of Obstetrics and Gynecology, The Chaim Sheba Medical Center, Ramat-Gan, Israel;5. Department of Surgery, Hadassah-Hebrew University Medical Center, Ein-Kerem Campus, Jerusalem, Israel
Abstract:When pregnancy follows metabolic and bariatric surgery (MBS), there are many important considerations related to nutritional status that may impact maternal and infant outcomes. Although evidence-based nutrition guidelines for pregnancy exist for the general population, there are limited practical recommendations that specifically address pregnancy after MBS. A literature search was conducted to investigate outcomes of women with a history of MBS and pregnancy. Search criteria focused on women 18 years of age and older who became pregnant after MBS. Search terms included “laparoscopic sleeve gastrectomy,” “Roux-en-Y gastric bypass,” “laparoscopic adjustable gastric banding,” “biliopancreatic duodenal switch,” and gestation terminology, and they were paired with the nutrition outcomes of interest. A total of 167 publications were identified; 46 articles were included in the final review. Data relating to gestation and fetal weight and nutrition and cardiometabolic data were extracted from the studies. Based on this review, women of childbearing age with a history of MBS should be evaluated and monitored for nutritional status before conception, during pregnancy, and postpartum.
Keywords:Anemia  Bariatric surgery  Nutrition  Obesity  Pregnancy  Vitamin deficiency
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