Adipositas stellt gerade Gynäkologen und Geburtshelfer vor große Herausforderungen. Viele Aspekte sind bei adipösen aber auch bei adipositasoperierten Patientinnen zu beachten, etwa der Einfluss auf Fertilität und die Wirkung von Kontrazeptiva sowie Besonderheiten in der Schwangerschaft.
Literatur
NCD Risk Factor Collaboration (NCD-RisC). Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19.2 million participants. Lancet. 2016;387:1377-96
Ricci G et al. Obesity in the European region: social aspects, epidemiology and preventive strategies. Eur Rev Med Pharmacol Sci. 2018;22:6930–9
Obesity: preventing and managing the global epidemic. Report of a WHO consultation (WHO Technical Report Series 894). Genf: World Health Organization; 2000
Puhl R et al. Health Consequences of Weight Stigma: Implications for Obesity Prevention and Treatment. Curr Obes Rep. 2015;4:182–90
Kitahara CM et al. Association between class III obesity (BMI of 40-59 kg/m2) and mortality: a pooled analysis of 20 prospective studies. PLoS Med. 2014;11:e1001673
Wirth A et al. The prevention and treatment of obesity. Dtsch Arztebl Int. 2014;111:705–13
Wadden, TA. Treatment of obesity by moderate and severe caloric restriction. Results of clinical research trials. Ann Intern Med. 1993;119:688–93
Angrisani L et al. Bariatric Surgery and Endoluminal Procedures: IFSO Worldwide Survey 2014. Obes Surg. 2017;27:2279–89
Stroh C et al. Does Certification as Bariatric Surgery Center and Volume Influence the Outcome in RYGB-Data Analysis of German Bariatric Surgery Registry. Obes Surg. 2017;27:445–53
Ordemann J, Elbelt J. Adipositas- und metabolische Chirurgie. Berlin Heidelberg: Springer-Verlag; 2017
Saber AA et al. Bariatric surgery: the past, present, and future. Obes Surg. 2008;18:121–8
Rosenthal RJ et al. International Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of >12,000 cases. Surg Obes Relat Dis. 2012;8:8–19
Peterli R et al. Effect of Laparoscopic Sleeve Gastrectomy vs Laparoscopic Roux-en-Y Gastric Bypass on Weight Loss in Patients With Morbid Obesity: The SM-BOSS Randomized Clinical Trial. JAMA. 2018;319:255–65
Shoar S et al. Long-term and midterm outcomes of laparoscopic sleeve gastrectomy versus Roux-en-Y gastric bypass: a systematic review and meta-analysis of comparative studies. Surg Obes Relat Dis. 2017;13:170–80
Bluher M. [Conservative obesity treatment - when and how?]. Dtsch Med Wochenschr. 2015;140:24–8
Pareek M et al. Metabolic Surgery: Weight Loss, Diabetes, and Beyond. J Am Coll Cardiol. 2018;71:670–87
Dietrich A et al. Obesity Surgery and the Treatment of Metabolic Diseases. Dtsch Arztebl Int, 2018;115:705–11
Practice Committee of the American Society for Reproductive Medicine. Obesity and reproduction: a committee opinion. Fertil Steril. 2015;104:1116-26
Goodarzi MO et al. Polycystic ovary syndrome: etiology, pathogenesis and diagnosis. Nat Rev Endocrinol. 2011;7:219–31
Rich-Edwards JW et al. Adolescent body mass index and infertility caused by ovulatory disorder. Am J Obstet Gynecol. 1994;171:171–7
Kalliala I et al. Obesity and gynaecological and obstetric conditions: umbrella review of the literature. BMJ. 2017;359:j4511.
Milone M et al. Incidence of Successful Pregnancy After Weight Loss Interventions in Infertile Women: a Systematic Review and Meta-Analysis of the Literature. Obes Surg. 2016;26:443–51
Johansson K et al. Outcomes of pregnancy after bariatric surgery. N Engl J Med. 2015;372:814–24
Parent B et al. Bariatric Surgery in Women of Childbearing Age, Timing Between an Operation and Birth, and Associated Perinatal Complications. JAMA Surg. 2017;152:128–35
Hasenberg T et al. [Emergency during pregnancy after Roux-en-Y gastric bypass]. Chirurg. 2016;87:604–6
Bhaskaran K et al. Body-mass index and risk of 22 specific cancers: a population-based cohort study of 5.24 million UK adults. Lancet: 2014;384:755–65
Aldrich T et al. The impact of obesity on gynecologic cancer screening: an integrative literature review. J Midwifery Womens Health. 2010;55:344–56
Blikkendaal MD et al. Hysterectomy in very obese and morbidly obese patients: a systematic review with cumulative analysis of comparative studies. Arch Gynecol Obstet. 2015;292:723–38
Iavazzo C et al. Robotic assisted hysterectomy in obese patients: a systematic review. Arch Gynecol Obstet. 2016;293:1169–83
Shah DK et al. Association of body mass index and morbidity after abdominal, vaginal, and laparoscopic hysterectomy. Obstet Gynecol. 2015;125:589–98
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Hasenberg, T., Kautt, S. & König, B. Folgen von Adipositas und Möglichkeiten, sie zu behandeln. gynäkologie + geburtshilfe 24, 24–28 (2019). https://doi.org/10.1007/s15013-019-1685-1
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DOI: https://doi.org/10.1007/s15013-019-1685-1