Private practice, Los Angeles, California.
Alberta Health Services, Edmonton, Alberta, Canada.
Surg Obes Relat Dis. 2022 Jun;18(6):820-830. doi: 10.1016/j.soard.2022.02.019. Epub 2022 Mar 6.
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.
当怀孕发生在代谢和减重手术（MBS）之后，有许多与营养状况相关的重要考虑因素可能会影响母婴结局。尽管针对普通人群存在基于证据的妊娠营养指南，但针对 MBS 后妊娠的具体实用建议有限。进行了文献检索，以调查有 MBS 和妊娠史的女性的结局。检索标准侧重于 18 岁及以上在 MBS 后怀孕的女性。检索词包括“腹腔镜袖状胃切除术”、“胃旁路术”、“腹腔镜可调节胃束带术”、“胆胰十二指肠转流术”和妊娠术语，并与感兴趣的营养结局配对。共确定了 167 篇出版物；最终综述纳入了 46 篇文章。从研究中提取了与妊娠和胎儿体重以及营养和心血管代谢数据相关的数据。基于这项综述，有 MBS 病史的育龄妇女在怀孕前、怀孕期间和产后应进行营养状况评估和监测。
