Laurenius Anna, Näslund Ingmar, Sandvik Jorunn, Videhult Per, Wirén Mikael
Goteborgs universitet Institutionen for kliniska vetenskaper - Gastrokirurgisk forskning och utbildning Goteborg, Sweden Goteborgs universitet Institutionen for kliniska vetenskaper - Gastrokirurgisk forskning och utbildning Goteborg, Sweden.
Kirurgiska kliniken - Universitetssjukhuset Örebro Örebro, Sweden Kirurgiska kliniken - Universitetssjukhuset Örebro Örebro, Sweden.
Lakartidningen. 2018 Jan 9;115:ETD7.
Each year 6,800 bariatric operations are performed in Sweden. Bariatric surgery involves both a reduced intake and a reduced absorption of vitamins and minerals. There has been debate about whose responsibility long-term follow-up is, particularly regarding monitoring vitamin and mineral status. The Swedish Society for Bariatric Surgery and the Norwegian Association for Bariatric Surgery, who oversee their respective national quality registers, have appointed an expert group to develop guidelines for postoperative supplementation and nutritional monitoring of vitamins and minerals, along with a schedule for routine follow-up. Several existing international guidelines have served as the basis for the development of this guidance. The Finnish Association for Metabolic Surgery and The Danish Association for the Study of Obesity have also decided to adopt the recommendations. The care of the patient group with severe obesity is a common responsibility of primary care and hospitals, as patients are heavily affected by obesity-related morbidity, which, even without surgery, requires major health care efforts, not least from primary care. After surgery, a large proportion of these efforts can be reduced, but focus changes.
瑞典每年进行6800例减肥手术。减肥手术会减少维生素和矿物质的摄入量及吸收量。关于长期随访由谁负责，尤其是监测维生素和矿物质状况，一直存在争议。负责监管各自国家质量登记册的瑞典减肥外科学会和挪威减肥外科学会已任命一个专家组，制定术后维生素和矿物质补充及营养监测指南，以及常规随访时间表。现有的若干国际指南为本指南的制定提供了基础。芬兰代谢外科学会和丹麦肥胖研究协会也决定采纳这些建议。重度肥胖患者群体的护理是初级保健机构和医院的共同责任，因为患者深受肥胖相关疾病的影响，即使不做手术，也需要大量医疗保健工作，尤其是来自初级保健机构的工作。手术后，这些工作的很大一部分可以减少，但重点会发生变化。
