Bariatric Surgery and Pregnancy
Journal Title: Current Trends in Gastroenterology and Hepatology - Year 2018, Vol 1, Issue 2
Abstract
Obesity represents a dangerous public health concern all over the universe. The World Health Organization suggests that, by 2015, approximately 2.3 billion adults will be overweight and more than 700 million will be obese [1]. Prevalence of obesity continues to rise and obesity has become the second leading cause of death in the West [2]. Obesity is associated with numerous comorbidities affecting virtually every organ system, including hypertension, type II diabetes mellitus, coronary artery disease, dyslipidemia, certain cancers, and ultimately increased mortality [3]. Obese women of reproductive age are a specific group at risk for a host of obesityrelated reproductive and obstetric complications, such as infertility, early miscarriage, gestational hypertension and diabetes mellitus, pre-eclampsia, preterm birth, and intrauterine fetal demise [4]. Bariatric surgery has been recently proven to decrease mortality in postoperative patients when compared to obese controls and is, thus, a promising weapon in the fight against obesity [5]. Over 80 %of bariatric surgical patients are women with obesity in their reproductive years [6]. Obesity adversely affects fertility; the rapid weight loss following bariatric surgery can increase fecundity. To combat reproductive complications of obesity, the American College of Obstetrics and Gynecology advocates weight loss prior to conception and acknowledges bariatric surgery as preliminarily promising in prepregnancy obesity treatment [7]. Bariatric surgery has become a cornerstone in the management of morbid obesity and is safely recommended for obese women of childbearing age [8].
Authors and Affiliations
Mohamed Nabih EL Gharib
Keywords
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- EP ID EP569035
- DOI 10.32474/CTGH.2018.01.000108
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