Résumé
L’impact délétère de l’obésité sur la fertilité féminine est important. L’obésité représente également un facteur de risque de nombreuses complications obstétricales maternelles et fœtales. La chirurgie bariatrique a montré une efficacité sur plusieurs comorbidités cardiométaboliques ainsi que sur lamortalité. Ses conséquences sur la fertilité et les complications maternofœtales demeurent par contre controversées. Dans ce contexte, nous avons souhaité évaluer l’impact de la chirurgie bariatrique sur la fertilité et les complications maternofœtales à l’aide d’un questionnaire, posé par entretien téléphonique, sur un échantillon de 191 femmes en âge de procréer (de 18 à 40 ans) ayant subi une chirurgie bariatrique. Les résultats de notre enquête confirment une perte de poids significative et une diminution des comorbidités après chirurgie ainsi qu’une amélioration des troubles du cycle. En revanche, il n’a pas été observé de diminution significative du nombre de fausses couches et des complications maternofœtales.
Abstract
Obesity has a negative impact on female fertility. Obesity also increases the risk of obstetrical maternal and fetal complications. Although bariatric surgery has been shown to fix comorbidities and mortality, its consequences on fertility and fetomaternal complications are still controversial. The impact of bariatric surgery was studied in 191 women of reproductive age (18 to 40 years) who benefited from bariatric surgery. Our results confirm a significant weight loss with an improvement of comorbidities after bariatric surgery and a decrease of menstrual cycle irregularities. However, the results don’t demonstrate a decrease of miscarriages rate and pregnancy or maternal complications.
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Léveillé, P., Sermondade, N., Faure, C. et al. Impact de la chirurgie bariatrique sur la fertilité et les complications maternofœtales: étude pilote rétrospective sur le registre obésité de la Soffco. Obes 6, 126–130 (2011). https://doi.org/10.1007/s11690-011-0277-6
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DOI: https://doi.org/10.1007/s11690-011-0277-6