Bordalo Livia Azevedo, Teixeira Tatiana Fiche Sales, Bressan Josefina, Mourão Denise Machado
Universidade Federal de Viçosa, Viçosa, MG.
Rev Assoc Med Bras (1992). 2011 Jan-Feb;57(1):113-20. doi: 10.1590/s0104-42302011000100025.
Patients who have undergone bariatric surgery are at increased risk of developing nutritional deficiencies from limited food intake and absorption of different nutrients. A systematic review of several database websites (PubMed and ISI Web of Science) was conducted from September 1983 to April 2010 to identify literature related to micronutrient deficiencies occurring after bariatric surgery. Keywords used individually or in various combinations in the search were bariatric surgery, obesity, vitamin/mineral deficiencies, protein deficiency, nutrient absorption and nutrient supplementation. Literature suggests that to prevent or treat nutritional deficiencies resulting from anatomical changes due to surgical techniques nutritional supplementation is usually necessary. The success of oral nutritional supplementation to correct or prevent nutritional deficiencies depends on several factors. Thus, to understand how nutrients can be administered is very important for clinical practice. This review aims to provide help for the best selection of nutrients to ensure an adequate replacement of nutrients in patients who have undergone bariatric surgery.
接受过减肥手术的患者，由于食物摄入量有限以及不同营养物质吸收不良，出现营养缺乏的风险增加。1983年9月至2010年4月期间，对几个数据库网站（PubMed和ISI Web of Science）进行了系统综述，以确定与减肥手术后发生的微量营养素缺乏相关的文献。搜索中单独或组合使用的关键词有减肥手术、肥胖症、维生素/矿物质缺乏、蛋白质缺乏、营养吸收和营养补充。文献表明，为预防或治疗因手术技术导致的解剖结构改变而引起的营养缺乏，通常需要进行营养补充。口服营养补充剂纠正或预防营养缺乏的成功取决于几个因素。因此，了解如何给予营养物质对临床实践非常重要。本综述旨在为最佳营养物质选择提供帮助，以确保接受减肥手术的患者能充分补充营养。
