Contraceptive Treatment after Biliopancreatic Diversion Needs Consensus

Gerrits, E. G.; Ceulemans, R.; Hee, R. Van; Hendrickx, L.; Totté, E.

doi:10.1381/096089203765887697

Cited by 106 publications

(73 citation statements)

References 12 publications

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“…Two reviews of patients undergoing bariatric surgery noted either resolution or improvement of type 2 diabetes mellitus. [38][39][40] Weight loss was also associated with a reduction in cholesterol and triglyceride levels as well as normalization of blood pressure and obstructive sleep apnea. 39 Given the improvements seen in both diabetes and hypertension, one can presume that similar resolution of hormonal milieu occurs with the reproductive hormones, thereby causing a return to fertility.…”

Section: Obesity Treatmentsmentioning

confidence: 98%

“…It has been reported that approximately 10% of women aged ,40 years will become pregnant within 3 years of bariatric surgery. [38][39][40][41][42][43] The literature on pregnancy outcomes and complications in women who have undergone weight-loss surgery is limited and conflicting. 43 Generally, it is recommended that women defer pregnancy until at least 1 to 2 years postoperatively, corresponding to the period when the most rapid weight loss occurs.…”

Section: Obesity Treatmentsmentioning

confidence: 99%

“…43 Generally, it is recommended that women defer pregnancy until at least 1 to 2 years postoperatively, corresponding to the period when the most rapid weight loss occurs. 40 Interestingly, the altered hormonal profile seen in obese women appears to normalize after weight-loss surgery. 39,44 A number of studies have found an increase in SHBG, FSH, and LH, as well as decreased estradiol and testosterone levels after weight-loss surgery in obese women.…”

Section: Obesity Treatmentsmentioning

confidence: 99%

“…40 Concerns have been raised about the efficacy of oral contraceptives after bariatric surgery. Studies comparing obese women after gastric bypass with controls have demonstrated lower levels of circulating contraceptive hormones.…”

Section: 39mentioning

confidence: 99%

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Obesity and contraception: controversy?

Goldberg¹,

Cardamone²,

Murthy

2012

OAJC

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Obesity is increasing worldwide and is affecting the reproductive health of women. Contraceptive considerations are difficult in obese women given concerns about efficacy and comorbid conditions. Once surgical treatment of obesity has occurred and weight loss initiated, fertility risks increase and unintended pregnancy can result; often at the time of greatest weight loss. Family planning counseling in the obese patient must account for both preoperative conditions as well as postoperative return to fertility.

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Section: Obesity Treatmentsmentioning

confidence: 98%

Section: Obesity Treatmentsmentioning

confidence: 99%

Section: Obesity Treatmentsmentioning

confidence: 99%

Section: 39mentioning

confidence: 99%

See 2 more Smart Citations

Obesity and contraception: controversy?

Goldberg¹,

Cardamone²,

Murthy

2012

OAJC

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“…According to the reproductive hormone profile and pregnancy outcomes, fertility status improves rapidly after bariatric surgery [51]. However, women who have undergone a bariatric procedure should be aware of possibly lower efficacy of contraceptives, due to malabsorption and post-operative complications, such as diarrhea and vomiting.…”

Section: Oral Contraceptivesmentioning

confidence: 99%

Management of the post-bariatric surgery patient – what an internist needs to know

Handzlik-Orlik

Holecki

Kędzierski

et al. 2016

noms

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Bariatric surgery is the most effective method of achieving long-lasting weight loss and improving metabolic and cardiovascular outcomes in selected obese patients (i.e. with body mass index [BMI] ≥ 40 kg/m 2 without coexisting morbidities or BMI ≥ 35 kg/m 2 with severe obesity-related diseases). As the epidemic of obesity grows, it is estimated that by 2030 around 11% of the population will be severely obese. Therefore, the number of bariatric procedures performed increases year after year, and it reached 179,000 in 2013. Bariatric procedures can be divided into three main types: restrictive, malabsorptive, and mixed procedures. While, careful multi-disciplinary preoperative assessment of the patient is an inseparable part of bariatric procedures, there is also a need for multi-disciplinary management after bariatric surgery. This should include surveillance by an internist, surgeon and registered dietician. However, treatment outcome is primarily dependent on the patient's compliance and awareness of the need for regular follow-up. This cannot be achieved without proper behavioral and psychological support, as it is as vital as other surveillance aspects. In this review we discuss early and late complications of bariatric surgery, its influence on obesity-related diseases, and changes in body composition and metabolism. According to recent guidelines and recommendations of American and European medical societies, we summarize available standards of post-bariatric management.

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