1 Division of Pulmonary & Critical Care Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
2 Division of Endocrinology, Mayo Clinic, Rochester, Minnesota, USA.
Nutr Clin Pract. 2017 Aug;32(4):471-480. doi: 10.1177/0884533617712226. Epub 2017 Jun 13.
Obesity has become a worldwide epidemic with a disproportionate increase in grade III obesity. Bariatric surgery offers an attractive option for sustained weight loss compared with traditional methods such as exercise and diet. Micronutrient deficiencies are common and clinically significant after bariatric surgery. These deficiencies are related to a combination of patient and surgical variables. A thorough understanding of specific micronutrient deficiencies is necessary for early recognition and optimal management. The purpose of this review is to describe indications, outcomes, and types of bariatric procedures, risk factors, and mechanisms for micronutrient deficiencies, as well as outline specific vitamin and trace element deficiencies after bariatric surgery.
肥胖已成为全球性流行病,其中三级肥胖的比例不成比例地增加。与运动和饮食等传统方法相比,减重手术提供了一种有吸引力的持续减肥选择。减重手术后,微量营养素缺乏很常见,且具有临床意义。这些缺乏与患者和手术变量的综合作用有关。为了早期识别和最佳管理,有必要深入了解特定的微量营养素缺乏。本综述的目的是描述减重手术的适应证、结果和手术类型、风险因素和微量营养素缺乏的机制,以及概述减重手术后特定的维生素和微量元素缺乏。