Li Zi Jian, Yu Jian Chun
Department of General Surgery,PUMC Hospital,CAMS and PUMC,Beijing 100730,China.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2018 Oct 30;40(5):577-580. doi: 10.3881/j.issn.1000-503X.10740.
Bariatric surgery remains the most successful treatment for morbid obesity. Multiple departments may be involved due to the presence of various co-morbidities and the complex procedure. Thus,the establishment of a multidisciplinary team based on endocrinology,gastrointestinal surgery,nutrition,and psychology is important to ensure a successful bariatric surgery. Although the bariatric surgery has definite effectiveness in decreasing body weight and improving comorbidities,patients may still face the risks including protein and/or micronutrient malnutrition and other complications after the bariatric surgery. The medium-and long-term follow-up and nutrition management after bariatric surgery mainly focus on the following two aspects: weight loss and improvement of obesity-related complications; and assessment and treatment of possible nutritional deficiencies and eating disorders.
减肥手术仍然是治疗病态肥胖最成功的方法。由于存在各种合并症以及手术过程复杂，可能涉及多个科室。因此，建立一个以内分泌学、胃肠外科、营养和心理学为基础的多学科团队对于确保减肥手术的成功至关重要。尽管减肥手术在减轻体重和改善合并症方面有明确疗效，但患者在减肥手术后仍可能面临包括蛋白质和/或微量营养素营养不良以及其他并发症在内的风险。减肥手术后的中长期随访和营养管理主要集中在以下两个方面：体重减轻和肥胖相关并发症的改善；以及对可能的营养缺乏和饮食失调的评估与治疗。
