Różańska-Walędziak Anna, Bartnik Paweł, Kacperczyk-Bartnik Joanna, Czajkowski Krzysztof, Walędziak Maciej, Kwiatkowski Andrzej
2 Department of Obstetrics and Gynecology, Medical University of Warsaw, Warsaw, Poland.
Department of General, Oncological, Metabolic and Thoracic Surgery, Military Institute of Medicine, Warsaw, Poland.
Wideochir Inne Tech Maloinwazyjne. 2021 Mar;16(1):30-37. doi: 10.5114/wiitm.2020.99281. Epub 2020 Sep 24.
The purpose of this review was to analyze the literature about pregnancy after bariatric surgery. We searched for available articles on the subject from the last decade (2010 to 2020). The positive impact of bariatric surgery on the level of comorbidities and pregnancy and neonatal outcomes cannot be overrated. Weight loss after bariatric surgery reduces the incidence of obesity-related conditions in pregnancy. A pregnancy in a woman after bariatric surgery should be considered a high-risk pregnancy and taken care of by a multidisciplinary team with appropriate micronutrient and vitamin supplementation provided. Optimum time to conception should be chosen following the international recommendations. Every woman after bariatric surgery should be aware of symptoms of surgical complications and immediately contact their surgeon in case of abdominal pain.
本综述的目的是分析有关减肥手术后妊娠的文献。我们检索了过去十年（2010年至2020年）关于该主题的可用文章。减肥手术对合并症水平以及妊娠和新生儿结局的积极影响再怎么强调也不为过。减肥手术后体重减轻可降低妊娠期间肥胖相关疾病的发生率。减肥手术后妇女的妊娠应被视为高危妊娠，并由多学科团队进行护理，同时提供适当的微量营养素和维生素补充。应按照国际建议选择最佳受孕时间。每位减肥手术后的妇女都应了解手术并发症的症状，如有腹痛应立即联系其外科医生。
