Favre Lucie, Ferrario Chiara, Mantziari Styliani, Suter Michel
Service d'endocrinologie, diabétologie et métabolisme, CHUV, 1011 Lausanne.
Service de chirurgie viscérale, CHUV, 1011 Lausanne.
Rev Med Suisse. 2019 Mar 20;15(643):626-630.
Bariatric surgery is the most effective long-term therapy for the management of patients with obesity but all bariatric surgical procedures have the potential to cause clinically significant micronutrient deficiencies due to reduced food intake, decreased gastric acid and intrinsic factor secretion, poor food choices and food intolerance. For clinicians, the acquisition of special knowledge is required in order to deliver appropriate and effective care to the post-bariatric patient. In the present article, we summarize existing recommendations for monitoring and replacement of vitamins and minerals following bariatric surgery.
减肥手术是治疗肥胖患者最有效的长期疗法,但由于食物摄入量减少、胃酸和内因子分泌降低、食物选择不佳以及食物不耐受,所有减肥手术都有可能导致临床上显著的微量营养素缺乏。对于临床医生而言,为减肥手术后的患者提供适当且有效的护理需要具备专业知识。在本文中,我们总结了减肥手术后监测和补充维生素及矿物质的现有建议。