Metabolic and Bariatric Surgery Program, Penn Medicine, Clinical Practices of the University of Pennsylvania, Philadelphia, PA, 19104, USA.
Cleveland Clinic Florida, Weston, FL, USA.
Curr Obes Rep. 2020 Sep;9(3):326-338. doi: 10.1007/s13679-020-00384-z.
Bariatric surgery is the most effective treatment for severe and complex obesity; however, the risk of developing nutrient deficiencies varies based upon the type of surgery, degree of malabsorption, and level of nutrition intervention. There are numerous factors that can impact the nutrition status of a patient during their pre- and postoperative journey. We review the critical components and considerations needed in order to provide optimal nutrition care for patients with bariatric surgery.
A dietitian, specializing in bariatric surgery, is the best equipped healthcare provider to prepare and support patients in achieving and maintaining optimal nutrition status. We present best practices for both the pre- and postoperative nutrition-related phases of a patient's journey. The dietitian specialist is integral in the assessment and ongoing nutrition care of patients with bariatric surgery. Further consideration should be given to enable access for lifelong follow-up and monitoring.
减重手术是治疗严重和复杂肥胖的最有效方法;然而,根据手术类型、吸收不良程度和营养干预水平的不同,发生营养缺乏的风险也有所不同。有许多因素会影响患者在术前和术后期间的营养状况。我们回顾了为接受减重手术的患者提供最佳营养护理所需的关键组成部分和考虑因素。
专门从事减重手术的营养师是最有能力准备和支持患者实现并维持最佳营养状态的医疗保健提供者。我们介绍了患者旅程中术前和术后与营养相关阶段的最佳实践。营养师专家是评估和持续营养护理接受减重手术患者的重要组成部分。应进一步考虑使患者能够获得终身随访和监测。