Roux-en-Y 胃旁路术后的硒状态：干预和建议。
Selenium Status after Roux-en-Y Gastric Bypass: Interventions and Recommendations.
机构信息
Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran.
出版信息
Obes Surg. 2019 Nov;29(11):3743-3748. doi: 10.1007/s11695-019-04148-0.
BACKGROUND
Selenium is an essential element that plays a vital role in maintaining human health and its deficiency can lead to cardiovascular and hypothyroidism complications. In this context, the main concern is about morbidly obese patients who undergo a Roux-en-Y Gastric Bypass (RYGB). Although RYGB leads to 60-70% excess weight loss, micronutrient deficiencies are common after this procedure and can be problematic if not promptly detected. This review will therefore examine the evidence regarding selenium deficiency in RYGB patients, as well its nutritional treatment methods.
METHODS
There were a total of 6 studies regarding RYGB and selenium deficiency, which were retrieved from PUBMED and SCOPUS electronic databases, ranging from 2006 to 2017.
CONCLUSION
Selenium deficiency was observed before and after RYGB. Lifelong supplementation and regular patient monitoring after surgery are recommended.
背景
硒是一种必需元素，对维持人体健康至关重要，其缺乏会导致心血管和甲状腺功能减退并发症。在这方面，主要关注的是接受 Roux-en-Y 胃旁路术（RYGB）的病态肥胖患者。虽然 RYGB 可导致 60-70%的体重减轻，但该手术后常出现微量营养素缺乏，如果不及时发现，可能会出现问题。因此，本综述将检查 RYGB 患者硒缺乏的证据，以及其营养治疗方法。
方法
共有 6 项关于 RYGB 和硒缺乏的研究，这些研究来自 PUBMED 和 SCOPUS 电子数据库，时间范围为 2006 年至 2017 年。
结论
RYGB 前后均观察到硒缺乏。建议术后进行终身补充和定期患者监测。
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