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Micronutrient screening, monitoring, and supplementation in pregnancy after bariatric surgery
We present the case of a woman with a history of biliopancreatic diversion and duodenal switch procedure who developed severe malnourishment requiring total parenteral nutrition during three pregnancies. The widespread use of bariatric surgery, particularly among those of reproductive age, has led t...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9574444/ https://www.ncbi.nlm.nih.gov/pubmed/36262823 http://dx.doi.org/10.1177/1753495X211013624 |
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author | Huang, Bonnie Yo, Jennifer H Gandhi, Shital Maxwell, Cynthia |
author_facet | Huang, Bonnie Yo, Jennifer H Gandhi, Shital Maxwell, Cynthia |
author_sort | Huang, Bonnie |
collection | PubMed |
description | We present the case of a woman with a history of biliopancreatic diversion and duodenal switch procedure who developed severe malnourishment requiring total parenteral nutrition during three pregnancies. The widespread use of bariatric surgery, particularly among those of reproductive age, has led to an increase in the number of women who become pregnant following bariatric surgery. There is a paucity of evidence to guide nutritional recommendations for women during pregnancy post bariatric surgery. We review this literature and summarize key published evidence and provide comprehensive recommendations concerning the common challenges in the management of nutrition status during pregnancy. The focus is on the impact of malabsorptive bariatric surgeries on pregnancy outcomes, nutrient deficiencies, recommendations for micro- and macronutrient monitoring and supplementation, and altered glucose metabolism and implications for diabetes screening. Optimizing pregnancy outcomes for individuals following bariatric surgery requires multidisciplinary team management including obstetrical providers, obstetric medicine specialists, and dietitians. |
format | Online Article Text |
id | pubmed-9574444 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-95744442022-10-18 Micronutrient screening, monitoring, and supplementation in pregnancy after bariatric surgery Huang, Bonnie Yo, Jennifer H Gandhi, Shital Maxwell, Cynthia Obstet Med Review Articles We present the case of a woman with a history of biliopancreatic diversion and duodenal switch procedure who developed severe malnourishment requiring total parenteral nutrition during three pregnancies. The widespread use of bariatric surgery, particularly among those of reproductive age, has led to an increase in the number of women who become pregnant following bariatric surgery. There is a paucity of evidence to guide nutritional recommendations for women during pregnancy post bariatric surgery. We review this literature and summarize key published evidence and provide comprehensive recommendations concerning the common challenges in the management of nutrition status during pregnancy. The focus is on the impact of malabsorptive bariatric surgeries on pregnancy outcomes, nutrient deficiencies, recommendations for micro- and macronutrient monitoring and supplementation, and altered glucose metabolism and implications for diabetes screening. Optimizing pregnancy outcomes for individuals following bariatric surgery requires multidisciplinary team management including obstetrical providers, obstetric medicine specialists, and dietitians. SAGE Publications 2021-05-21 2022-09 /pmc/articles/PMC9574444/ /pubmed/36262823 http://dx.doi.org/10.1177/1753495X211013624 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Review Articles Huang, Bonnie Yo, Jennifer H Gandhi, Shital Maxwell, Cynthia Micronutrient screening, monitoring, and supplementation in pregnancy after bariatric surgery |
title | Micronutrient screening, monitoring, and supplementation in pregnancy
after bariatric surgery |
title_full | Micronutrient screening, monitoring, and supplementation in pregnancy
after bariatric surgery |
title_fullStr | Micronutrient screening, monitoring, and supplementation in pregnancy
after bariatric surgery |
title_full_unstemmed | Micronutrient screening, monitoring, and supplementation in pregnancy
after bariatric surgery |
title_short | Micronutrient screening, monitoring, and supplementation in pregnancy
after bariatric surgery |
title_sort | micronutrient screening, monitoring, and supplementation in pregnancy
after bariatric surgery |
topic | Review Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9574444/ https://www.ncbi.nlm.nih.gov/pubmed/36262823 http://dx.doi.org/10.1177/1753495X211013624 |
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