Evidence map›Paper›PMID 29973985›Full record

ReviewJournal of obesity2018

Management of Pregnant Women after Bariatric Surgery.

Jürgen Harreiter, Karin Schindler, Dagmar Bancher-Todesca, Christian Göbl, Felix Langer, Gerhard Prager, Alois Gessl, Michael Leutner, Bernhard Ludvik, Anton Luger and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of obesity, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.

  1. Review: Sex-Specific Aspects in the Bariatric Treatment of Severely Obese Women.International journal of environmental research and public health · 2020
    Pooled it
  2. Bariatric Surgery, Gestational Diabetes and Perinatal Outcomes: A Population-Based Study.BJOG : an international journal of obstetrics and gynaecology · 2026
    Article
  3. [Management of hyperglycemia in pregnancy (Update 2026)].Wiener klinische Wochenschrift · 2026
    Review
  4. Article
  5. Impact of Metabolic Surgery on Gestational Diabetes Mellitus: A Cohort Analysis.The Australian & New Zealand journal of obstetrics & gynaecology · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Iron Deficiency Anemia in Pregnancy after Bariatric Surgery: Etiology, Risk Factors, and How to Manage It.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2023
    Article
  16. Review
  17. Article
  18. Article
  19. Observational
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Jürgen HarreiterGender Medicine Unit, Division of Endocrinology and Metabolism, Department of Medicine III, Medical University Vienna, Vienna, Austria.
Karin SchindlerDivision of Endocrinology and Metabolism, Department of Medicine III, Medical University Vienna, Vienna, Austria.
Dagmar Bancher-TodescaDivision of Obstetrics and Feto-Maternal Medicine, Department of Obstetrics and Gynecology, Medical University of Vienna, Vienna, Austria.
Christian GöblDivision of Obstetrics and Feto-Maternal Medicine, Department of Obstetrics and Gynecology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-3922-7443
Felix LangerDepartment of Surgery, Medical University Vienna, Vienna, Austria.
Gerhard PragerDepartment of Surgery, Medical University Vienna, Vienna, Austria.
Alois GesslDivision of Endocrinology and Metabolism, Department of Medicine III, Medical University Vienna, Vienna, Austria.
Michael LeutnerDivision of Endocrinology and Metabolism, Department of Medicine III, Medical University Vienna, Vienna, Austria.
Bernhard LudvikDivision of Endocrinology and Metabolism, Department of Medicine III, Medical University Vienna, Vienna, Austria.
Anton LugerDivision of Endocrinology and Metabolism, Department of Medicine III, Medical University Vienna, Vienna, Austria.
Alexandra Kautzky-WillerGender Medicine Unit, Division of Endocrinology and Metabolism, Department of Medicine III, Medical University Vienna, Vienna, Austria.ORCID 0000-0002-3520-4105
Michael KrebsDivision of Endocrinology and Metabolism, Department of Medicine III, Medical University Vienna, Vienna, Austria.ORCID 0000-0002-9265-7274
Medical University of Vienna · ATKrankenanstalt Rudolfstiftung der Stadt Wien · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The prevalence of obesity is growing worldwide, and strategies to overcome this epidemic need to be developed urgently. Bariatric surgery is a very effective treatment option to reduce excess weight and often performed in women of reproductive age. Weight loss influences fertility positively and can resolve hormonal imbalance. So far, guidelines suggest conceiving after losing maximum weight and thus recommend conception at least 12-24 months after surgery. As limited data of these suggestions exist, further evidence is urgently needed as well for weight gain in pregnancy. Oral glucose tolerance tests for the diagnosis of gestational diabetes mellitus (GDM) should not be performed after bariatric procedures due to potential hypoglycaemic adverse events and high variability of glucose levels after glucose load. This challenges the utility of the usual diagnostic criteria for GDM in accurate prediction of complications. Furthermore, recommendations on essential nutrient supplementation in pregnancy and lactation in women after bariatric surgery are scarce. In addition, nutritional deficiencies or daily intake recommendations in pregnant women after bariatric surgery are not well investigated. This review summarizes current evidence, proposes clinical recommendations in pregnant women after bariatric surgery, and highlights areas of lack of evidence and the resulting urgent need for more clinical investigations.

Indexed as

Bariatric SurgeryPregnancyBreast FeedingDiabetes, GestationalFemaleFertilityHumansNutritional RequirementsObesityObstetricsWeight LossWomen's Health

Identifiers

PMID29973985
PMCPMC6008727
OpenAlexW2805606020

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.