Lee Hye Ok, Choi Sung Il, Jeong In Kyung
Nutrition Team, Kyung Hee University Hospital at Gangdong, Seoul 05278, Korea.
Department of Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul 05278, Korea.
Clin Nutr Res. 2020 Apr 23;9(2):157-162. doi: 10.7762/cnr.2020.9.2.157. eCollection 2020 Apr.
Nutritional intervention for individual patients has a wide range of postoperative food adaptability, so an individual evaluation is required. The medical institution intends to examine the contents of nutritional arbitration conducted on patients who underwent gastric surgery, examine the results, identify the nutritional problems that can be seen through the course of the patient's meal process, and share the clinical experience. In this case study, a 46-year-old female patient was diagnosed with morbid obesity, impaired fasting glucose and hypertension. She was 153 cm tall and weighed 88 kg, with a body mass index 37.6 kg/m at initial evaluation. The patient maintained normal biochemical data before and after surgery and shows postoperative weight loss, body fat reduction, and abdominal fat reduction. In this case, blood sugar and blood lipid levels improved after weight loss. The repeated nutritional intervention for a sleeve gastrectomy patient, which is performed by clinical dietitians, is as follows. A balanced diet, supplemented with vitamins and minerals, is very important for preventing nutritional complications after obesity surgery. In conclusion, for stomach surgery patients, a multidisciplinary approach and continuous nutritional management, motivation for weight loss, postoperative dietary adaptation, and individual access to patients are most important.
针对个体患者的营养干预具有广泛的术后食物适应性，因此需要进行个体评估。医疗机构打算检查对接受胃手术患者进行的营养仲裁内容，检查结果，确定在患者进餐过程中可以看到的营养问题，并分享临床经验。在本案例研究中，一名46岁女性患者被诊断为病态肥胖、空腹血糖受损和高血压。她身高153厘米，体重88公斤，初评时体重指数为37.6kg/m²。患者手术前后生化数据保持正常，术后体重减轻、体脂减少且腹部脂肪减少。在此案例中，体重减轻后血糖和血脂水平得到改善。临床营养师对一名接受袖状胃切除术患者进行的反复营养干预如下。均衡饮食，补充维生素和矿物质，对于预防肥胖手术后的营养并发症非常重要。总之，对于胃手术患者，多学科方法、持续营养管理、减肥动机、术后饮食适应以及对患者的个体化关注最为重要。
