Daniëlle S Bonouvrie, Sophie B M Taverne, Loes Janssen, Arijan A P M Luijten, François M H van Dielen, Wouter K G Leclercq
{"title":"妊娠和减肥手术:减肥外科医生的实践和偏好的显著差异:一项全国调查。","authors":"Daniëlle S Bonouvrie, Sophie B M Taverne, Loes Janssen, Arijan A P M Luijten, François M H van Dielen, Wouter K G Leclercq","doi":"10.1089/bari.2021.0045","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Bariatric complications may occur during pregnancy, potentially causing serious maternal and fetal problems. The aim of this study was to determine the current practice and preferences of bariatric surgeons regarding the pregnancy care of fertile women before and after bariatric surgery.</p><p><strong>Methods: </strong>A 26-question anonymous online survey was designed and sent to all bariatric surgeons of the Dutch Society of Metabolic and Bariatric Surgery.</p><p><strong>Results: </strong>At least one bariatric surgeon from each bariatric center (<i>n</i> = 18) completed the survey. In case of a future child, wish sleeve gastrectomy became more popular than Roux-en-Y gastric bypass. All surgeons provided preoperative education regarding bariatric complications during pregnancy. Nine centers without neonatal intensive care would not refer pregnant women with acute complications. Half of the centers had a standard operating procedure. Seven per 18 bariatric centers had seen at least one postbariatric pregnant patient with severe maternal morbidity. One case of perinatal mortality was reported.</p><p><strong>Conclusion: </strong>There is an inconsistent and often below guideline standard daily practice regarding pregnancy before and after bariatric surgery. There is limited experience with pregnant women with acute bariatric complications. Referral to tertiary centers is inadequate. Better information provision for both professionals and patients regarding possible complications is needed.</p>","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":null,"pages":null},"PeriodicalIF":0.4000,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9233520/pdf/","citationCount":"3","resultStr":"{\"title\":\"Pregnancy and Bariatric Surgery: Significant Variation in Bariatric Surgeons' Practices and Preferences: A National Survey.\",\"authors\":\"Daniëlle S Bonouvrie, Sophie B M Taverne, Loes Janssen, Arijan A P M Luijten, François M H van Dielen, Wouter K G Leclercq\",\"doi\":\"10.1089/bari.2021.0045\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Bariatric complications may occur during pregnancy, potentially causing serious maternal and fetal problems. The aim of this study was to determine the current practice and preferences of bariatric surgeons regarding the pregnancy care of fertile women before and after bariatric surgery.</p><p><strong>Methods: </strong>A 26-question anonymous online survey was designed and sent to all bariatric surgeons of the Dutch Society of Metabolic and Bariatric Surgery.</p><p><strong>Results: </strong>At least one bariatric surgeon from each bariatric center (<i>n</i> = 18) completed the survey. In case of a future child, wish sleeve gastrectomy became more popular than Roux-en-Y gastric bypass. All surgeons provided preoperative education regarding bariatric complications during pregnancy. Nine centers without neonatal intensive care would not refer pregnant women with acute complications. Half of the centers had a standard operating procedure. Seven per 18 bariatric centers had seen at least one postbariatric pregnant patient with severe maternal morbidity. One case of perinatal mortality was reported.</p><p><strong>Conclusion: </strong>There is an inconsistent and often below guideline standard daily practice regarding pregnancy before and after bariatric surgery. There is limited experience with pregnant women with acute bariatric complications. Referral to tertiary centers is inadequate. Better information provision for both professionals and patients regarding possible complications is needed.</p>\",\"PeriodicalId\":48848,\"journal\":{\"name\":\"Bariatric Surgical Practice and Patient Care\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.4000,\"publicationDate\":\"2022-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9233520/pdf/\",\"citationCount\":\"3\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Bariatric Surgical Practice and Patient Care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1089/bari.2021.0045\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2022/6/8 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Bariatric Surgical Practice and Patient Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1089/bari.2021.0045","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/6/8 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"NURSING","Score":null,"Total":0}
Pregnancy and Bariatric Surgery: Significant Variation in Bariatric Surgeons' Practices and Preferences: A National Survey.
Background: Bariatric complications may occur during pregnancy, potentially causing serious maternal and fetal problems. The aim of this study was to determine the current practice and preferences of bariatric surgeons regarding the pregnancy care of fertile women before and after bariatric surgery.
Methods: A 26-question anonymous online survey was designed and sent to all bariatric surgeons of the Dutch Society of Metabolic and Bariatric Surgery.
Results: At least one bariatric surgeon from each bariatric center (n = 18) completed the survey. In case of a future child, wish sleeve gastrectomy became more popular than Roux-en-Y gastric bypass. All surgeons provided preoperative education regarding bariatric complications during pregnancy. Nine centers without neonatal intensive care would not refer pregnant women with acute complications. Half of the centers had a standard operating procedure. Seven per 18 bariatric centers had seen at least one postbariatric pregnant patient with severe maternal morbidity. One case of perinatal mortality was reported.
Conclusion: There is an inconsistent and often below guideline standard daily practice regarding pregnancy before and after bariatric surgery. There is limited experience with pregnant women with acute bariatric complications. Referral to tertiary centers is inadequate. Better information provision for both professionals and patients regarding possible complications is needed.
期刊介绍：
Bariatric Surgical Practice and Patient Care is the essential peer-reviewed journal delivering clinical best practices and quality updates for achieving optimal bariatric surgical outcomes.
Bariatric Surgical Practice and Patient Care coverage includes:
Quality outcomes measurement and reporting
Process innovations and care delivery
Short- and long-term surgical complications
Pre-surgical diagnosis and consultation
Pre-op, peri-op, and post-op standards of practice
Patient access
Patient safety issues
Nutritional and dietary support
Bariatric surgical emergencies
Best practices and current standards for bariatric surgery
Culture and ethics
Body contouring and reconstructive surgery
Bariatric teamwork and communication.
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