Article ; Online: Gastro-intestinal surgery and fertility.
Journal of visceral surgery
2018 Volume 155 Suppl 1, Page(s) S49–S55
Abstract: In France, 10 to 15% of couples in the overall population have a fertility problem. Preservation of sexual and reproductive function should be a major concern for all patients capable of procreation who undergo treatment for gastro-intestinal disease. ... ...
Abstract | In France, 10 to 15% of couples in the overall population have a fertility problem. Preservation of sexual and reproductive function should be a major concern for all patients capable of procreation who undergo treatment for gastro-intestinal disease. The gastro-intestinal diseases most often responsible for fertility disorders include chronic inflammatory diseases, intestinal cancer and hereditary diseases, such as the Lynch syndrome and familial adenomatous polyposis. Obesity is responsible for a 20% loss of fertility but the effects of bariatric surgery on fertility are controversial. Nonetheless, in the light of progress in surgical techniques and better knowledge of gastro-intestinal disease the negative impact of surgery on fertility warrants attention. Effectively, fertility can be preserved after certain major gastro-intestinal operations such as cytoreductive surgery with intraperitoneal chemotherapy, total coloprotectomy with ileo-anal anastomosis and rectosigmoid resection, as long as the patient's age permits and resection of the reproductive organs is not necessary. |
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MeSH term(s) | Digestive System Surgical Procedures/adverse effects ; Digestive System Surgical Procedures/methods ; Fertility Preservation/methods ; Humans ; Infertility/etiology ; Infertility/prevention & control ; Postoperative Complications/prevention & control |
Language | English |
Publishing date | 2018-05-30 |
Publishing country | France |
Document type | Journal Article ; Review |
ISSN | 1878-7886 |
ISSN (online) | 1878-7886 |
DOI | 10.1016/j.jviscsurg.2018.04.006 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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