Division of Gastrointestinal Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, 610041, China.
Department of General Surgery, The Second Clinical Medical College, The Fifth People's Hospital affiliated to Chengdu University of Traditional Chinese Medicine, Chengdu, 610041, China.
Obes Surg. 2023 May;33(5):1545-1552. doi: 10.1007/s11695-023-06514-5. Epub 2023 Mar 4.
Western studies have explored bariatric surgeons concerning their views on bariatric surgery (BS) and reproductive health, but Asian data were lacking. The aim of this study was to explore the perception and practice of bariatric surgeons on the reproductive health of female patients who underwent BS in China to better guide clinical practice and improve clinical outcomes.
An online questionnaire of 31 questions developed by bariatric surgeons was collected by sending to one online communication group (WeChat group) whose members are Chinese bariatric surgeons.
A total of 87 bariatric surgeons from mainland China were surveyed. Almost all (97.7%, 85/87) surgeons considered the reproductive health conversation for women who underwent BS to be important or very important. Only 1/4 of surgeons routinely discuss reproductive health-related issues with patients, and only 56% of doctors always ask patients for postoperative contraception. Less than 20% of bariatric surgeons have full knowledge of postoperative contraception, and nearly 40% of them believe that gynecologists should be responsible for providing contraception. More than 35% of bariatric surgeons have never been involved in the co-management of pregnancy in patients with a history of BS.
Although most bariatric surgeons are aware of the importance of female reproductive health, there is a large gap in the perception and clinical practice of bariatric surgeons in terms of reproductive health. It is necessary to further strengthen the education of bariatric surgeons and enhance multidisciplinary cooperation with gynecology, obstetrics, and other disciplines to bring better clinical outcomes.
西方的研究已经探讨了肥胖症外科医生对肥胖症手术（BS）和生殖健康的看法，但亚洲的数据却很缺乏。本研究的目的是探讨中国肥胖症外科医生对接受 BS 的女性患者生殖健康的看法和实践，以更好地指导临床实践并改善临床结果。
通过向一个在线交流群（微信群）发送由肥胖症外科医生开发的 31 个问题的在线问卷，收集了来自中国大陆的 87 名肥胖症外科医生的调查结果。该交流群的成员均为中国的肥胖症外科医生。
共调查了中国大陆的 87 名肥胖症外科医生。几乎所有（97.7%，85/87）外科医生都认为对接受 BS 的女性进行生殖健康对话很重要或非常重要。只有四分之一的外科医生会定期与患者讨论与生殖健康相关的问题，只有 56%的医生总是会询问患者术后的避孕措施。不到 20%的肥胖症外科医生对术后避孕有充分的了解，近 40%的人认为应由妇科医生负责提供避孕措施。超过 35%的肥胖症外科医生从未参与过有 BS 病史的患者妊娠的共同管理。
尽管大多数肥胖症外科医生都意识到女性生殖健康的重要性，但肥胖症外科医生在生殖健康方面的认知和临床实践方面存在很大差距。有必要进一步加强对肥胖症外科医生的教育，并加强与妇科、产科和其他学科的多学科合作，以带来更好的临床结果。
