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Obesity Surgery
Erschienen in: Obesity Surgery 10/2021

25.07.2021 | Review

Micronutrient supplementation in pregnancies following bariatric surgery: a practical review for clinicians

verfasst von: Greet Vanheule, Dries Ceulemans, An-Katrien Vynckier, Paulien De Mulder, Mieke Van Den Driessche, Roland Devlieger

Erschienen in: Obesity Surgery | Ausgabe 10/2021

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Abstract

Patients who have undergone bariatric surgery are at high risk for nutritional deficiencies before and after surgery if no proper supplementation and close follow-up are maintained. As pregnancies after these surgeries are occurring more frequently, deficiencies imply risks for both mother and child. Nutritional needs for this specific population are different from that of patients with obesity or a non-bariatric population. This review provides a comprehensive summary of the most described vitamins and minerals during pregnancy, after bariatric surgery, and during pregnancy after bariatric surgery in order to summarize their specific needs and possible side effects and to provide a useful guideline to the involved caregivers.

Graphical abstract

Literatur
1.
Love AL, Billett HH. Obesity, bariatric surgery, and iron deficiency: true, true, true and related. Am J Hematol. 2008;83(5):403–9.
2.
Crusell M, Nilas L, Svarne J, et al. A time interval of more than 18 months between a pregnancy and a Roux-en-Y gastric bypass increases the risk of iron deficiency and anaemia in pregnancy. Obes Surg. 2016;26(10):2457–62.PubMedCrossRef
3.
Shawe J, Ceulemans D, Akhter Z, et al. Pregnancy after bariatric surgery: consensus recommendations for periconception, antenatal and postnatal care. Obes Rev. 2019;20:1507–22.PubMedPubMedCentralCrossRef
4.
Harreiter J, Schindler K, Bancher-Todesca D, et al. Management of pregnant women after bariatric surgery. J Obes. 2018;2018:4587064.
5.
Costa MM, Belo S, Soeteiro P, et al. Pregnancy after bariatric surgery: maternal and fetal outcomes of 39 pregnancies and a literature review. J Obstet Gynaecol Res. 2018;44(4):681–90.PubMedCrossRef
6.
Kaska L, Kobiela J, Abacjew-Chmylko A, et al. Nutrition and pregnancy after bariatric surgery. ISRN Obes. 2013;2013:492060.
7.
Gonzalez I, Lecube A, Rubio MA, et al. Pregnancy after bariatric surgery: improving outcomes for mother and child. Int J Womens Health. 2016;8:721–9.PubMedPubMedCentralCrossRef
8.
Garretto D, Kim Y-K, Quadro L, et al. Vitamin A and beta-carotene in pregnant and breastfeeding post-bariatric women in an urban population. J Perinat Med. 2019;47(2):183–9.
9.
Mousa A, Naqash A, Lim S. Macronutrient and micronutrient intake during pregnancy: an overview of recent evidence. Nutrients. 2019;11(2):443.
10.
Donadelli SP, Junqueira-Franco MVM, de Mattos Donadelli CA, et al. Daily vitamin supplementation and hypovitaminosis after obesity surgery. Nutrition. 2012;28:391–6.PubMedCrossRef
11.
12.
Ronis MJ, Pedersen KB, Watt J. Adverse effects of nutraceuticals and dietary supplements. Annu Rev Pharmacol Toxicol. 2018;58:583–601.PubMedCrossRef
13.
Biesalski HK, Tinz J. Multivitamin/mineral supplements: rationale and safety. Nutrition. 2017;36:60–6.PubMedCrossRef
14.
Slater C, Morris L, Ellison J, et al. Nutrition in pregnancy following bariatric surgery. Nutrients. 2017;9(12):1338.
15.
Gutierrez-Mazariegos J, Theodosiou M, Campo-Paysaa F, et al. Vitamin A: a multifunctional tool for development. Semin Cell Dev Biol. 2011;22:603–10.PubMedCrossRef
16.
Patel JJ, Mundi MS, Hurt RT, et al. Micronutrient deficiencies after bariatric surgery: an emphasis on vitamins and trace minerals. Nutr Clin Pract. 2017;32(4):417–80.CrossRef
17.
Dibley MJ, Jeacocke DA. Safety and toxicity of vitamin A supplements in pregnancy. Food Nutr Bull. 2001;22(3):248–66.CrossRef
18.
Gilchrist H, Taranath D, Gole G. Ocular malformation in a newborn secondary to maternal hypovitaminosis A. J AAPOS. 2010;14(3):274–6.PubMedCrossRef
19.
Huerta S, Rogers LM, Li Z, et al. Vitamin A deficiency in a newborn resulting from maternal hypovitaminosis A after biliopancreatic diversion for the treatment of morbid obesity. Am J Clin Nutr. 2002;76:426–9.PubMedCrossRef
20.
Thorne-Lyman AL, Fawzi WW. Vitamin A and carotenoids during pregnancy and maternal, neonatal and infant health outcomes: a systematic review and meta-analysis. Paediatr Perinat Epidemiol. 2012;26 Suppl 1(01):36–54.
21.
Parrott J, Frank L, Rabena R, et al. American Society for Metabolic and Bariatric Surgery integrated health nutritional guidelines for the surgical weight loss patient 2016 update: micronutrients. Surg Obes Relat Dis. 2017;13(5):727–41.
22.
Dagan SS, Goldenshluger A, Globus I, et al. Nutritional recommendations for adult bariatric surgery patients: clinical practice. Adv Nutr. 2017;8:382–94.CrossRef
23.
Yabuta S, Urata M, Yap Wai Kun R, et al. Common SNP rs6564851 in the BCO1 gene affects the circulating levels of beta-carotene and the daily intake of carotenoids in healthy Japanese women. PLoS One. 2016;11(12):e0168857.
24.
Ferrucci L, Perry JR, Matteini A, et al. Common variation in the beta-carotene 15,15′-Monooxygenase 1 gene affects circulating levels of carotenoids: a genome-wide association study. Am J Hum Genet. 2009;84:123–33.PubMedPubMedCentralCrossRef
25.
Borel P, Desmarchelier C. Genetic variations associated with vitamin A status and vitamin A bioavailability. Nutrients. 2017;9(3):246.
26.
Falcone V, Stopp T, Feichtinger M, et al. Pregnancy after bariatric surgery: a narrative literature review and discussion of impact on pregnancy management and outcome. BMC Pregnancy Childbirth. 2018;18(1):507.
27.
Kerns JC, Arundel C, Chawla LS. Thiamin deficiency in people with obesity. American Society for Nutrition. 2015;6:147–53.
28.
Dias FM, De Freitas Silva DM, de Proença Doily FC, et al. The connection between maternal thiamine shortcoming and offspring cognitive damage and poverty perpetuation in underprivileged communities across the world. Med Hypotheses. 2013;80:13–6.PubMedCrossRef
29.
Dias FM. D. Marra de Freitas Silva, F. Costa de Proença Doyle and A. M. Ribeiro, The connection between maternal thiamine shortcoming and offspring cognitive damage and poverty perpetuation in underprivileged communities across the world. Med Hypotheses. 2013;80:13–6.PubMedCrossRef
30.
Via MA, Mechanick JI. Nutritional and micronutrient care of bariatric surgery patients: current evidence update. Curr Obes Rep. 2017;6:286–96.PubMedCrossRef
31.
Carrodeguas L, Kaidar-Person O, Szomstein S, et al. Preoperative thiamine deficiency in obese population undergoing laparoscopic bariatric surgery. Surg Obes Relat Dis. 2005;1:517–22.PubMedCrossRef
32.
Devlieger R, Guelinckx I, Jans G, et al. Micronutrient levels and supplement intake in pregnancy after bariatric surgery: a prospective cohort study. PLoS One. 2014;9(12):15.CrossRef
33.
Nath A, Tran T, Shope TR, et al. Prevalence of clinical thiamine deficiency in individuals with medically complicated obesity. Nutr Res. 2017;37:29–36.PubMedCrossRef
34.
Lawton AW, Frisard NE. Visual loss, retinal hemorrhages, and optic disc edema resulting from thiamine deficiency following bariatric surgery complicated by prolonged vomiting. Ochsner J. 2017;17:112–4.PubMedPubMedCentral
35.
Saltzman E, Karl JP. Nutrient deficiencies after gastric bypass surgery. Annu Rev Nutr. 2013;33:183–203.PubMedCrossRef
36.
Kloss O, Eskin M, Suh M. Thiamin deficiency on fetal brain development with and without prenatal alcohol exposure. Biochem Cell Biol. 2018;96(2):169–77.PubMedCrossRef
37.
Mohapatra S, Gangadharan K, Pitchumoni CS. Malnutrition in obesity before and after bariatric surgery. Dis Mon. 2020;66(2):100866.
38.
Greenberg JA, Bell SJ, Guan Y, et al. Folic acid supplementation and pregnancy: more than just neural tube defect prevention. Rev Obstet Gynecol. 2011;4(2):52–9.PubMedPubMedCentral
39.
Berti C, Fekete K, Dullemeijer C, et al. Folate intake and markers of folate status in women of reproductive age, pregnant and lactating women: a meta-analysis. J Nutr Metab. 2012;2012:470656.
40.
Miraglia N, Agostinetto M, Bianchi D, et al. Enhanced oral bioavailability of a novel folate salt: comparison with folic acid and a calcium folate salt in a pharmacokinetic study in rats. Minerva Ginecol. 2016;68(2):99–105.PubMed
41.
Molloy AM, Kirke PN, Brody LC, et al. Efects of folate and vitamin B12 deficiencies during pregnancy on fetal, infant and child development. Food Nutr Bull. 2008;29(2):S101–11.PubMedCrossRef
42.
Gaskins A, Afeiche M, Wright DL, et al. Dietary folate and reproductive success among women undergoing assisted reproduction. Obstet Gynecol. 2014;124(4):801–9.PubMedPubMedCentralCrossRef
43.
Obeid R, Holzgreve W, Pietrzik K. Is 5-methyltetrahydrofolate and alternative to folic acid for the prevention of neural tube defects? J Perinat Med. 2013;41(5):469–83.PubMedCrossRef
44.
Sukumar N, Rafnsson SB, Kandala N-B, et al. Prevalence of vitamin B12 insufficiency during pregnancy and its effect on offspring birth weight: a systematic review and meta-analysis. Am J Clin Nutr. 2016;103:1232–51.PubMedCrossRef
45.
Brito A, Habeych E, Silva-Zolezzi I, et al. Methods to assess vitamin B12 bioavailability and technologies to enhance its absorption. Nutr Rev. 2018;76(10):778–92.PubMedCrossRef
46.
47.
Jans G, Matthys C, Bogaerts A, et al. Maternal micronutrient deficiencies and related adverse neonatal outcomes after bariatric surgery: a systematic review. Adv Nur. 2015;6:420–9.
48.
Celiker MY, Chawla A. Congenital B12 deficiency following maternal gastric bypass. J Perinatol. 2009;29:640–2.PubMedCrossRef
49.
Kornerup LS, Hvas CL, Abild CB, et al. Early changes in vitamin B12 uptake and biomarker status following Roux-en-Y bypass and sleeve gastrectomy. Clin Nutr. 2019;38(2):906–11.
50.
Ochoa-Brust GJ, Fernandez AR, Villanueva-Ruiz GJ. R. Velasco and B. e. a. Trujillo-Hernandez, Daily intake of 100 mg ascorbic acid as urinary tract infection prophylactic agent during pregnancy. Acta Obstet Gynecol. 2007;86:783–7.CrossRef
51.
Garcia-Diaz DF, Lopez-Legarrea P, Quintero P, et al. Vitamin C in the treatment and/or prevention of obesity. J Nutr Sci Vitaminol. 2014;60:367–79.PubMedCrossRef
52.
Elste V, Troesch B, Eggersdorfer M, et al. Emerging evidence on neutrophil motility supporting its usefulness to define vitamin C intake requirements. Nutrients. 2017;9(5):503.
53.
Dror DK, Allen LH. Interventions with vitamins B6, B12 and C in pregnancy. Paediatr Perinat Epidemiol. 2012;26(suppl. 1):55–74.PubMedCrossRef
54.
Hazart J, Le Guennec D, Accoceberry M, et al. Maternal Nutritional deficiencies and small-for-gestational-age neonates at birth of women who have undergone bariatric surgery. J Pregnancy. 2017;2017:4168541.
55.
56.
Wei J-H, Lee W-J, Chong K, et al. High incidence of secondary hyperparathyroidism in bariatric patients: comparing different procedures. Obes Surg. 2017;28:798–804.CrossRef
57.
Lespessailles E, Toumi H. Vitamin D alteration associated with obestiy and bariatric surgery. Exp Biol Med. 2017;242:1086–94.CrossRef
58.
Tamim F, Takruri H, Aframb K, et al. Effect of vitamin D supplementation for obese pregnant women on gestational diabetes and diabetes biomarkers. J Clin Nutr Metab. 2017;1:2.
59.
Merewood A, Mehta SD, Chen TC, et al. Association between vitamin D deficiency and primary cesarean section. J Clin Endocrinol Metab. 2009;94(3):940–5.PubMedCrossRef
60.
Bodnar LM, Catov JM, Roberts JM, et al. Prepregnancy obestiy predicts poor vitamin D status in mothers and their neonates. J Nutr. 2007;137(11):2437–42.PubMedCrossRef
61.
62.
Josefson JL, Feinglass J, Rademaker AW, et al. Maternal obesity and vitamin D sufficiency are associated with cord blood vitamin D insufficiency. J Clin Endocrinol Metab. 2013;98(1):114–9.PubMedCrossRef
63.
Munger KL, Hongell K, Aivo J, et al. 25-Hydroxyvitamin D deficiency and risk for MS among women in the Finnish Maternity Cohort. Neurology. 2017;89(15):1578–83.PubMedPubMedCentralCrossRef
64.
Munger KL, Aivo J, Hongell K, et al. Vitamin D status during pregnancy and risk of multiple sclerosis in offspring of women in the Finnish Maternity Cohort. JAMA Neurol. 2016;73(5):515–9.PubMedPubMedCentralCrossRef
65.
Bodnar LM, Simhan HN, Powers RW, et al. High prevalence of vitamin D insufficiency in black and white pregnant women residing in the northern united states and their neonates. J Nutr. 2007;137(2):447–52.PubMedCrossRef
66.
Holick MF, Binkley NC, Bischoff-Ferrari HA, et al. Evaluation, treatment and prevention of vitamin D deficiency: an endocrine society clinical practice guideline. J Clin Endocrinol Metab. 2011;96(7):1911–30.PubMedCrossRef
67.
Ekwaru JP, Zwicker JD, Holick MF, et al. The importance of body weight for the dose response relationship of oral vitamin D supplementation and serum 25-hydroxyvitamin D in healthy volunteers. PLoS One. 2014;9(11):e111265.
68.
Rumbold A, Ota E, Hori H, et al. Vitamin E supplemenatation in pregnancy (review). Cochrane Database Syst Rev. 2005;2:CD004069.
69.
Cuesta M, Pelaz L, Perez C, et al. Fat-soluble vitamin deficiencies after bariatric surgery could be misleading if they are not appropriately adjusted. Nutr Hosp. 2014;30(1):118–23.PubMed
70.
Shahrook S, Ota E, Hanada N, et al. Vitamin K supplementation during pregnancy for improving outcomes: a systematic review and meta-analysis. Nat Sci Rep. 2018;8(1):11459.
71.
Sherf-Dagan S, Goldenshluger A, Azran C, et al. Vitamin K - what is known regarding bariatric surgery patients: a systematic review. Surg Obes Relat Dis. 2019;15:1402–13.PubMedCrossRef
72.
Guelinckx I, Devlieger R, Vansant G. Reproductive outcomes after bariatric surgery: a critical review. Hum Reprod Update. 2009;15(2):189–201.PubMedCrossRef
73.
Willemse JP, Meerens LJ, Scheepers HC, et al. Calcium intake from diet and supplement use during early pregnancy: the Expect Study I. Eur J Nutr. 2019;59(1):167–74.
74.
Ben-Porat T, Elazary R, Goldenshluger A, et al. Nutritional deficiencies four years after laparoscopic sleeve gastrectomy - are supplements required for a lifetime? Surg Obes Relat Dis. 2017;13:1138–44.PubMedCrossRef
75.
Khan M, Sharma S. Physiology, parathyroid hormone (PTH), Statpearls; 2019.
76.
Maresz K. Proper calcium use: vitamin K2 as a promotor of bone and cardiovascular health. Integrative Medicine. 2015;14(1):34–9.PubMedPubMedCentral
77.
Blusztajn JK, Slack BE, Mellott TJ. Neuroprotective actions of dietary choline. Nutrients. 2017;9(8):815.
78.
Yan J, Jiang X, West AA, et al. O. V. Malysheva and T. e. a. Brenna, Pregnancy alters choline dynamics: results of a randomized trial using stable isotope methodology in pregnant and nonpregnant women. Am J Clin Nutr. 2013;98:1459–67.PubMedPubMedCentralCrossRef
79.
Zeisel SH. Nutrition in pregnancy: the argument for including a source of choline. Int J Women's Health. 2013;5:193–9.CrossRef
80.
Caudill MA, Strupp BJ, Muscalu L, et al. Maternal choline supplementation during the thrid trimester of pregnancy improves infant information processing speed: a randomised double-blind controlled feeding study. FASEB J. 2018;32(4):2172–80.
81.
Freedman R, Hunter SK, Law AJ, et al. Higher gestational choline levels in maternal infection are protective for infant brain development. J Pediatr. 2019;208:198–206.e2.
82.
Shaw GM, Finnell RH, Blom HJ, et al. Choline and risk of neural tube defects in a folate-fortified population. Epidemiology. 2009;20(5):714–9.PubMedCrossRef
83.
Zhao W, Li X, Xia X, et al. Iodine nutrition during pregnancy: past, present and future. Biol Trace Elem Res. 2019;188:196–207.PubMedCrossRef
84.
Lindorfer H, Krebs M, Kautzky-Willer A, et al. Iodine deficiency in pregnant women in Austria. Eur J Clin Nutr. 2015;69:349–54.PubMedCrossRef
85.
Manousou S, Andersson M, Eggertsen R, et al. Iodine deficiency in pregnant women in Sweden: a national cross-sectional study. Eur J Nutr. 2020;59:2535–45.PubMedCrossRef
86.
Michalaki M, Volonakis S, Mamali I, et al. Dietary iodine absorption is not influenced by malabsorptive bariatric surgery. Obes Surg. 2014;24:1921–5.PubMedCrossRef
87.
Kusturica J, Rakovac-Tupkovic L, Kulo A, et al. Prenatal care: what supplements do we advise pregnant women? Folia Med. 2014;1:14–22.
88.
Bothwell TH. Iron requirements in pregnancy and strategies to meet them. Am J Clin Nutr. 2000;72:257S–64S.
89.
Auerbach M. Commentary: Iron deficiency of pregnancy - a new approach involving intravenous iron. Reprod Health. 2018;15(Suppl 1):96.
90.
Friedrisch JR, Friedrisch BK. Prophylactic iron supplemenation in pregnancy: a controversial issue. Biochemistry Insights. 2017;10:1–8.CrossRef
91.
Melamed N, Ben-Haroush A, Kaplan B, et al. Iron supplementation in pregnancy - does the preparation matter? Arch Gynecol Obstet. 2007;276:601–4.PubMedCrossRef
92.
Harrington M, Hotz C, Polvo G, et al. A comparison of the bioavailability of ferrous fumarate and ferrous sulfate in non-anemic Mexican women and children consuming a sweetened maize and milk drink. Eur J Clin Nutr. 2011;65:20–5.PubMedCrossRef
93.
Zariwara MG, Somavarapu S, Farnaud S, et al. Comparison study of oral iron preparations using a human intestinal model. Shi Pharm. 2013;81:1123–39.
94.
Lopez-Vicente M, Fito NR, Vilor-Tejedor N. R. Garcia-Esteban and S. e. a. Fernandez-Barres, Prenatal omega-6:omega-3 ratio and attention deficiat and hyperactivity disorder symptoms. J Pediatr. 2019;209:204–11.PubMedCrossRef
95.
Devarshi PP, Grant RW, Ikonte CJ, et al. Maternal omega-3 nutrition, placental transfer and fetal brain development in gestational diabetes and preeclampsia. Nutrients. 2019;11(5):1107.
96.
Wilson NA, Mantzioris E, Middleton PT, et al. Gestational age and maternal status of DHA and other polyunsaturated fatty acids in pregnancy: a systematic review. Prostaglandins Leukot Essent Fatty Acids. 2019;144:16–31.
97.
Larque E, Gil-Sanchez A, Prieto-Sanchez MT, et al. Omega 3 fatty acids, gestation and pregnancy outcomes. Br J Nutr. 2012;107:S77–84.PubMedCrossRef
98.
99.
100.
Judge MP, Harel O, Lammi-Keefe CJ. Maternal consumption of a docosahexaenoic acid-containing functional food during pregnancy: benefit for infant performance on problem-solving but not on recognition memory tasks at age 9 mo. Am J Clin Nutr. 2007;85:1572–7.PubMedCrossRef
101.
Dunstan JA, Simmer K, Dixon G, et al. Cognitive assessment of children at age 2.5 years after maternal fish oil supplementation in pregnancy: a randomised controlled trial. BMJ. 2007;93:F4–6.
102.
Bisgaard H, Stokholm J, Chawes BL, et al. Fish oil-derived fatty acids in pregnancy and wheeze and asthma in offspring. N Engl J Med. 2019;375(26):2530–9.CrossRef
103.
Hoge A, Tabar V, Donneau A-F, et al. Imbalance between omega-6 and omega-3 polyunsaturated fatty acids in early pregnancy is predictive of postpartum depression in a Belgian cohort. Nutrients. 2019;11(4):876.
104.
Polanska K, Krol A, Sobala W, et al. Selenium status during pregnancy and child psychomotor development - Polish mother and child cohort study. Pediatr Res. 2015;79(6):863–9.
105.
Kipp AP, Strohm D, Brigelius-Flohé R, et al. Revised reference values for selenium intake. J Trace Elem Med Biol. 2015;32:195–9.PubMedCrossRef
106.
Lewicka I, Kocylowski R, Grzesiak M, et al. Selected trace elements concentrations in pregnancy and their possible role - literature review. Obstetrics. 2017;88(9):509–214.
107.
Qazi IH, Angel C, Yang H, et al. Selenium, selenoproteins, and female reproduction: a review. Molecules. 2018;23(12):3053.
108.
Skröder HM, Hamadani JD, Tofail F, et al. Selenium status in pregnancy influences children’s cognitive function at 1.5 years of age. Clin Nutr. 2015;34(5):923–30.PubMedCrossRef
109.
Varsi K, Bolann B, Torsvik I, et al. Impact of maternal selenium status on infant outcome during the first 6 months of life. Nutrients. 2017;9(5):486.
110.
Rayman MP. Selenium intake, status and health: a complex relationship. Hormones. 2020;19:9–14.PubMedCrossRef
111.
Jurowski K, Szewczyk B, Nowak G, et al. Biological consequences of zinc deficiency in the pathomechanisms of selected diseases. J Biol Inorg Chem. 2014;19:1069–79.PubMedPubMedCentralCrossRef
112.
Busetto L, Dicker D, Azran C, et al. Practical recommendations of the Obesity Management Task Force of the European Association for the study of obesity for the post-bariatric surgery medical management. Obes Facts. 2017;10:597–632.PubMedPubMedCentralCrossRef
113.
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. 2019;29:3722–34.PubMedCrossRef
Metadaten
Titel
Micronutrient supplementation in pregnancies following bariatric surgery: a practical review for clinicians
verfasst von
Greet Vanheule
Dries Ceulemans
An-Katrien Vynckier
Paulien De Mulder
Mieke Van Den Driessche
Roland Devlieger
Publikationsdatum
25.07.2021
Verlag
Springer US
Erschienen in
Obesity Surgery / Ausgabe 10/2021
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-021-05546-z

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Appendizitis BDC Leitlinien Webinare
CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.