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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...

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Detalles Bibliográficos
Autores principales: Huang, Bonnie, Yo, Jennifer H, Gandhi, Shital, Maxwell, Cynthia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
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.
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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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