Chen Wei, Pan Hui
Department of Parenteral and Enteral Nutrition, PUMC Hospital, CAMS and PUMC, Beijing 100730, China.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2011 Jun;33(3):228-31. doi: 10.3881/j.issn.1000-503X.2011.03.003.
Bariatric surgery has increasingly been applied for patients with severe obesity. By dramatically reducing body weight and producing favorable effects on disorders in endocrine metabolism, bariatric surgery has shown to be able to lower the overall mortality. However, this intervention involves a profound change in digestive physiology and may cause nutrition and endocrinal metabolism-related severe complications, which mainly result from the deficiency or unbalance of macronutrients and micronutrients. Therefore, it is necessary to establish a fixed management procedure which includes routine perioperative nutritional consultation, regular monitoring, and early preventive nutritional support, so as to prevent metabolic complications and achieve better outcomes.
减肥手术越来越多地应用于重度肥胖患者。通过大幅减轻体重并对内分泌代谢紊乱产生有利影响，减肥手术已被证明能够降低总体死亡率。然而，这种干预涉及消化生理的深刻变化，可能会导致营养和内分泌代谢相关的严重并发症，这些并发症主要是由常量营养素和微量营养素的缺乏或失衡引起的。因此，有必要建立一个固定的管理程序，包括常规的围手术期营养咨询、定期监测和早期预防性营养支持，以预防代谢并发症并取得更好的效果。
