Georgetown University School of Medicine, 3900 Reservoir Road NW, Washington, DC 20057, USA.
Gastroenterol Clin North Am. 2010 Mar;39(1):109-24. doi: 10.1016/j.gtc.2009.12.003.
Bariatric surgery has become an increasingly important method for management of medically complicated obesity. In patients who have undergone bariatric surgery, up to 87% with type 2 diabetes mellitus develop improvement or resolution of their disease postoperatively. Bariatric surgery can reduce the number of absorbed calories through performance of either a restrictive or a malabsorptive procedure. Patients who have undergone bariatric surgery require indefinite, regular follow-up care by physicians who need to follow laboratory parameters of macronutrient as well as micronutrient malnutrition. Physicians who care for patients after bariatric surgery need to be familiar with common postoperative syndromes that result from specific nutrient deficiencies.
减重手术已成为治疗肥胖合并症的重要方法。在接受减重手术的患者中，高达 87%的 2 型糖尿病患者术后病情得到改善或缓解。减重手术可通过限制或吸收不良来减少吸收的卡路里数量。接受减重手术的患者需要由医生进行无限期的定期随访，这些医生需要遵循宏量营养素和微量营养素营养不良的实验室参数。治疗减重手术后患者的医生需要熟悉因特定营养素缺乏而导致的常见术后综合征。
