Pech Nicole, Meyer Frank, Lippert Hans, Manger Thomas, Stroh Christine
Department of General, Abdominal and Pediatric, Surgery, Municipal Hospital, Straße des Friedens 122, 07548 Gera, Germany.
J Obes. 2012;2012:828737. doi: 10.1155/2012/828737. Epub 2012 May 21.
Background. The aim of this study was to investigate patient outcomes and nutritional deficiencies following sleeve gastrectomy (SG) during a follow-up of two years. Methods. Over a period of 56 months, all consecutive patients who underwent SG were documented in this prospective, single-center, observational study. The study endpoints included operative time, complication rates, nutritional deficiencies and percentage of excess weight loss (%EWL). Results. From September 26, 2005 to May 28, 2009, 82 patients (female : male = 48 : 34) with a mean age of 43.3 years (range: 22-64) and a preoperative BMI of 52.5 kg/m² (range: 36.8-77.0) underwent SG. Major complications were observed in 9.8% of the patients, with 1 death. During follow up 51.2% of patients were supplemented with iron, 36.6% with zinc, 37.8% with calcium, 26.8% with vitamin D, 46.3% with vitamin B12 and 41.5% with folic acid. %EWL was 54.3, 65.3 and 62.6% after 6, 12 and 24 months. Conclusion. SG as a single step procedure is an effective bariatric intervention. Nutritional deficiencies after SG can be detected by routine nutritional screening. Our results show that Vitamin B12 supplementation should suggest routinely after SG.
背景。本研究旨在调查在两年随访期间，袖状胃切除术（SG）后的患者预后及营养缺乏情况。方法。在这项前瞻性、单中心观察性研究中，记录了连续56个月内所有接受SG的患者。研究终点包括手术时间、并发症发生率、营养缺乏情况及超重减轻百分比（%EWL）。结果。从2005年9月26日至2009年5月28日，82例患者（女性∶男性 = 48∶34）接受了SG，平均年龄43.3岁（范围：22 - 64岁），术前BMI为52.5kg/m²（范围：36.8 - 77.0）。9.8%的患者出现了严重并发症，其中1例死亡。在随访期间，51.2%的患者补充了铁，36.6%补充了锌，37.8%补充了钙，26.8%补充了维生素D，46.3%补充了维生素B12，41.5%补充了叶酸。6个月、12个月和24个月后的%EWL分别为54.3%、65.3%和62.6%。结论。SG作为一种单步手术是一种有效的减肥干预措施。SG后的营养缺乏可通过常规营养筛查检测出来。我们的结果表明，SG后应常规建议补充维生素B12。
