Ceulemans Dries, Deleus Ellen, Benhalima Katrien, van der Schueren Bart, Lannoo Matthias, Devlieger Roland
Department of Development and Regeneration, KU Leuven, Leuven, Belgium.
Department of Obstetrics and Gynaecology, University Hospitals Leuven, Leuven, Belgium.
BJOG. 2025 Mar;132(4):401-413. doi: 10.1111/1471-0528.18032. Epub 2024 Dec 11.
As the prevalence of obesity increases worldwide, and lifestyle modification or pharmaceutical treatment yields insufficient results for patients with severe obesity, an increasing number of patients opt for metabolic bariatric surgery as an effective and durable treatment of this disease. Seeing as 80% of these patients are women, many of whom are of reproductive age, pregnancies after metabolic bariatric surgery become increasingly common. Metabolic bariatric surgery has many benefits for overall health and pregnancy outcomes, but certain risks are also reported. This leads to the rise of a new population of patients with their own specific needs regarding follow-up. This review discusses the various benefits and risks of these types of surgery for pregnancy. We provide an overview of the current state of the evidence and look into future research goals.
随着全球肥胖症患病率的上升，对于重度肥胖患者而言，生活方式的改变或药物治疗效果欠佳，越来越多的患者选择代谢减重手术作为治疗该疾病的有效且持久的方法。鉴于这些患者中有80%为女性，其中许多处于育龄期，代谢减重手术后怀孕的情况日益普遍。代谢减重手术对整体健康和妊娠结局有诸多益处，但也有一些风险报告。这导致出现了一类有特定随访需求的新患者群体。本综述讨论了这类手术对妊娠的各种益处和风险。我们概述了现有证据的现状，并探讨未来的研究目标。
