A Guide for Clinicians: Bariatric Surgery and The ObGyn Patient

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January 2010 · Vol. 22, No. 01

SURGICAL TECHNIQUES

A guide for clinicians: Bariatric surgery and the ObGyn patient

A boom in surgical weight-loss procedures means you will be called on to manage women who have undergone—or are considering—one of these operations. Are you prepared?

Fast Track

More than 200,000 people underwent bariatric surgery in 2008 alone—at least half of them women of reproductive age

Candidates for bariatric surgery include patients who have a BMI ≥40 and those who have a BMI ≥35 along with a comorbidity

Among adults 20 years and older in the United States, the prevalence of obesity is 32%, and the prevalence of morbid obesity is almost 5%

One of the most serious potential problems following Roux-en-Y gastric bypass is intestinal obstruction

Any physician who might care for a patient who has undergone a Lap-Band procedure should be aware of the possibility of a slipped band, a life-threatening complication

After Roux-en-Y gastric bypass, the patient should take a daily multivitamin, vitamin B₁₂, and supplemental calcium and vitamin D

IN THIS ARTICLE

Types of bariatric procedures
When is bariatric surgery indicated?
Potential complications
Nutritional concerns

Thomas A. Stellato, MD

Dr. Stellato is Professor of Surgery at Case Western Reserve University School of Medicine in Cleveland, Ohio.

The author reports no financial relationships relevant to this article.

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