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Clinical Practice Guidelines for Childbearing Female Candidates for Bariatric Surgery, Pregnancy, and Post-partum Management After Bariatric Surgery

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A Correction to this article was published on 05 June 2020

This article has been updated

Abstract

Emerging evidence suggests that bariatric surgery improves pregnancy outcomes of women with obesity by reducing the rates of gestational diabetes, pregnancy-induced hypertension, and macrosomia. However, it is associated with an increased risk of a small-for-gestational-age fetus and prematurity. Based on the work of a multidisciplinary task force, we propose clinical practice recommendations for pregnancy management following bariatric surgery. They are derived from a comprehensive review of the literature, existing guidelines, and expert opinion covering the preferred type of surgery for women of childbearing age, timing between surgery and pregnancy, contraception, systematic nutritional support and management of nutritional deficiencies, screening and management of gestational diabetes, weight gain during pregnancy, gastric banding management, surgical emergencies, obstetrical management, and specific care in the postpartum period and for newborns.

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Change history

  • 05 June 2020

    In the original article, due to an XML tagging error the name of V��ronique Taillard was omitted from the list of members of the French Study Group for Bariatric Surgery and Maternity (the BARIA-MAT Group). The correct list is as follows:

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Acknowledgments

The authors thank each member of the multidisciplinary reading group, Olivier Ziegler MD, PhD (Department of Diabetology-Endocrinology-Nutrition, CHRU Nancy, University of Lorraine, Nancy, France and president of the national coordination and consultation group of specialized obesity treatment centers), and Jean-Michel Oppert MD, PhD (Assistance Publique-Hôpitaux de Paris, Pitié-Salpêtrière Hospital, Department of Nutrition, Sorbonne University, Institute of Cardiometabolism and Nutrition (ICAN), Paris, France).

French Study Group for Bariatric Surgery and Maternity including all listed authors and Virginie Castera, MD1, Régis Coutant, MD, PhD2, Thierry Dupré, MD3, Hubert Johanet, MD4, Marie Pigeyre, MD, PhD5, Brigitte Rochereau, MD6, Véronique Taillard, MD7, Claudine Canale8, Anne-Sophie Joly8

1Department of Endocrinology, St Joseph Hospital, Marseille, France

2Department of Pediatrics, Angers University Hospital, Angers, France

3Assistance Publique-Hôpitaux de Paris, Bichat Hospital, Department of Biochemistry, Paris, France; Société Française des Vitamines et Biofacteurs

4Clinique Turin, Paris, France

5Department of Nutrition, CHRU Lille, University Lille, Lille, France

6Antony, France

7Department of Nutrition, CHU Nimes, Nimes, France

8Collectif National des Associations d’Obèses (CNAO)

Author information

Authors and Affiliations

  1. Assistance Publique-Hôpitaux de Paris, Pitié-Salpêtrière Hospital, Departments of Nutrition and Diabetology, Institute of Cardiometabolism and Nutrition (ICAN), Sorbonne University, 47-83 Boulevard de l’Hôpital, 75013, Paris, France

    Cécile Ciangura

  2. Assistance Publique-Hôpitaux de Paris, Louis Mourier Hospital, Department of Explorations Fonctionnelles, Colombes, University Paris Diderot, Paris, France

    Muriel Coupaye

  3. Association Française d’Etude et de Recherche sur l’Obésité (AFERO), Paris, France

    Muriel Coupaye & Bénédicte Gaborit

  4. Department of Obstetrics and Gynecology, Strasbourg University Hospital, Strasbourg, France

    Philippe Deruelle

  5. Collège National des Gynécologues et Obstétriciens Français (CNGOF), Paris, France

    Philippe Deruelle & Geoffroy Robin

  6. Department of Neonatal Medicine, Angers University Hospital, Angers, France

    Géraldine Gascoin

  7. Société Française de Néonatologie et Société Française de Pédiatrie, Paris, France

    Géraldine Gascoin

  8. Assistance Publique-Hôpitaux de Paris, Louis Mourier Hospital, Department of Digestive Surgery, Colombes, University Paris Diderot, Paris, France

    Daniela Calabrese

  9. Assistance Publique-Hôpitaux de Paris, Jean Verdier Hospital, Department of Endocrinology-Diabetology-Nutrition, Bondy, 10 UMR U557 INSERM/U11125 INRA/CNAM, University Paris13, Bobigny, France

    Emmanuel Cosson

  10. Société Francophone du Diabète (SFD), Paris, France

    Emmanuel Cosson

  11. Department of Obstetrics and Gynecology, Departemental Hospital, La Roche-sur-Yon, France

    Guillaume Ducarme

  12. Assistance Publique-Hôpitaux de Marseille, Department of Endocrinology, Metabolic Diseases and Nutrition, Marseille, INSERM, INRA, C2VN, Aix Marseille University, Marseille, France

    Bénédicte Gaborit

  13. Laboratory of Pharmacology and Toxicology, Angers University Hospital, Angers, France

    Bénédicte Lelièvre

  14. Assistance Publique-Hôpitaux de Paris, Louis Mourier Hospital, Department of Gynecology and Obstetrics, Colombes, University Paris Diderot, Paris, France

    Laurent Mandelbrot

  15. Assistance Publique-Hôpitaux de Paris, Henri Mondor Hospital, Division of Digestive Surgery and Liver Transplantation, UPEC University, Créteil, France

    Niccolo Petrucciani

  16. Department of Diabetology-Endocrinology-Nutrition, CHRU Nancy, INSERM 954, University of Lorraine, Nancy, France

    Didier Quilliot

  17. Société Francophone Nutrition Clinique et Métabolisme (SFNCM), Paris, France

    Didier Quilliot

  18. Department of Endocrinology, Metabolic Diseases and Nutrition, Toulouse University Hospital, UMR1027, Paul Sabatier University, Toulouse, France

    Patrick Ritz

  19. Department of Medical Gynecology, and Sexology and Department of Assisted Reproductive Technologies and Fertility Preservation, Jeanne de Flandre Hospital, Lille, EA4308 “gametogenesis and gamete quality”, Lille University, Lille, France

    Geoffroy Robin

  20. Department of Diabetology-Endocrinology-Nutrition, Angers University Hospital, Angers, France

    Agnès Sallé

  21. Division of Digestive Surgery and Liver Transplantation, Nice University Hospital, University of Nice, Nice, France

    Jean Gugenheim

  22. Société Française et Francophone de Chirurgie de l’Obésité et des Maladies Métaboliques (SOFFCOMM), Porte des Pierres Dorées, France

    Jean Gugenheim

  23. Assistance Publique-Hôpitaux de Paris, Pitié-Salpêtrière Hospital, Department of Gynecology and Obstetrics, Sorbonne University, Paris, France

    Jacky Nizard

Authors
  1. Cécile Ciangura
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  2. Muriel Coupaye
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  3. Philippe Deruelle
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Consortia

BARIA-MAT Group

  • Virginie Castera
  • , Régis Coutant
  • , Thierry Dupré
  • , Hubert Johanet
  • , Marie Pigeyre
  • , Brigitte Rochereau
  • , Claudine Canale
  •  & Anne-Sophie Joly

Corresponding author

Correspondence to Cécile Ciangura.

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Conflict of Interest

E.C. declares personal fees from Astra Zeneca, Lifescan, Medtronic, MSD, personal fees and non-financial support from Novartis, Novo-Nordisk, Lilly, Roche Diagnostics, Sanofi, Abbott, Orkyn, grants from Fondation Roche, Air liquide, outside the submitted work. G.R. declares personal fees from MSD laboratory Merck-Serono Laboratory, Ferring Laboratory, Teva Laboratory, outside the submitted work. All other authors declare no conflict of interest.

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Ciangura, C., Coupaye, M., Deruelle, P. et al. Clinical Practice Guidelines for Childbearing Female Candidates for Bariatric Surgery, Pregnancy, and Post-partum Management After Bariatric Surgery. OBES SURG 29, 3722–3734 (2019). https://doi.org/10.1007/s11695-019-04093-y

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