1 / 12

Successful Management of Pregnancy After Bariatric Surgery

Successful Management of Pregnancy After Bariatric Surgery. Remesova T Jones L, Heath D, Sufi P Bariatric Surgery Department Whittington Hospital, London. United Kingdom. What algorithm is optimal?. Nutrition Surgical issues Obstetrical issues. What algorithm is optimal?.

tyne
Télécharger la présentation

Successful Management of Pregnancy After Bariatric Surgery

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Successful Management of Pregnancy After Bariatric Surgery Remesova T Jones L, Heath D, Sufi P Bariatric Surgery Department Whittington Hospital, London. United Kingdom

  2. What algorithm is optimal? • Nutrition • Surgical issues • Obstetrical issues

  3. What algorithm is optimal? • Nutrition • Surgical issues • Obstetrical issues

  4. What new you will hear? • Local algorithm • Roles in the multidisciplinary team – dietician, surgeon, obstetrician/midwife • 20 patients, 22 pregnancies • 1 week to 36 months post operatively

  5. 1. dietician • Adjustment of supplements – vitamin A • Eating habits • Nutrition • Blood profile Zinc B12 / folic acid Haemoglobin / iron Vitamin D

  6. 2. surgeon • Band adjustment • Potential surgical issues

  7. restrictive Stretching the pouch Band adjustment Band slippage Stretching the pouch Gastric BAND SLEEVE gastrectomy

  8. Restrictive & malabsorbtive Malnutrition Internal hernias Ulcers Gastric BYPASS Duodenal SWITCH / Biliopancreatic bypass

  9. 3. Obstetrician / midwife • Obesity + O&G risk assessment • Avoid oGTT in malabsorbtiveprocedures • Avoidpreferably oral contraceptive • Immediate referral to dietician • Low threshold for surgical referral

  10. ALGORITHM

  11. Our results • Early referrals good outcome • Late referral IUGR  CS 30 weeks • Frequent vitamin deficiencies  corrected • 2 subsequent pregnancies in two years  no weight loss

  12. Thank you! Tereza.Remesova@nhs.net ObsGynae.net

More Related