Faculty of Health Sciences, Department of Nutrition and Dietetics, Istanbul Kultur University, Bahcelievler, 34191, Istanbul, Turkey.
Faculty of Health Sciences, Department of Nutrition and Dietetics, Istanbul Gelisim University, Avcilar, 34310, Istanbul, Turkey.
Clin Nutr ESPEN. 2021 Jun;43:184-190. doi: 10.1016/j.clnesp.2021.04.016. Epub 2021 Apr 27.
Today, Sleeve gastrectomy (SG) has recently become the most common bariatric procedure among various bariatric surgical procedures due to its advantages. The aim of this study is to investigate nutritional status, body composition and biochemical parameters following SG.
This was a prospective study, the subjects were patients who underwent SG at a special obesity clinic in İstanbul, Turkey, between 01.05.2017 and 01.11.2017. The mean body mass index (BMI) of the participants was 42.15 ± 4.84 kg/m for men and 41.44 ± 4.34 kg/m for women, preoperatively. Nutritional status, some anthropometric measurements and blood sampling were taken at each visit. Data were collected and analyzed for the present study at the following periods: pre-operation (pre-op), 1 month, 3 months and 6 months after surgery.
A total of 47 SG patients (20 men, 27 women) were evaluated. The mean BMI was 30.23 ± 3.56 kg/m for men and 30.35 ± 4.36 kg/m for women after 6 months and the amount of excess weight loss (EWL) increased in the 3 months (p < .001). Mean energy, fiber, vitamin A, vitamin C, vitamin B, niacin, vitamin B, folate, calcium, magnesium, iron, zinc, phosphorus and iodine were above the Dietary Reference Intake (DRI) recommendations. A significant association was found between protein intake and fat free mass loss in both genders after SG at 6 months (p < .05).
Nutrition deficiencies are common for patients after SG. Therefore, it is important to routinely monitor these patients with a professional team.
如今，袖状胃切除术（SG）由于其优势，已成为各种减重手术中最常见的术式。本研究旨在探讨 SG 术后营养状况、身体成分和生化参数的变化。
这是一项前瞻性研究，研究对象为 2017 年 5 月 1 日至 2017 年 11 月 1 日在土耳其伊斯坦布尔一家专门的肥胖诊所接受 SG 的患者。参与者的平均体重指数（BMI）为男性 42.15 ± 4.84kg/m²，女性 41.44 ± 4.34kg/m²。每次就诊时均进行营养状况评估、一些人体测量学测量和血液采样。本研究的数据收集和分析时间点为：术前（术前）、术后 1 个月、3 个月和 6 个月。
共评估了 47 例 SG 患者（20 名男性，27 名女性）。男性术后 6 个月 BMI 平均为 30.23 ± 3.56kg/m²，女性为 30.35 ± 4.36kg/m²，术后 3 个月体重减轻量（EWL）增加（p < 0.001）。能量、纤维、维生素 A、维生素 C、维生素 B、烟酸、维生素 B₁₂、叶酸、钙、镁、铁、锌、磷和碘的平均摄入量均高于膳食参考摄入量（DRI）的推荐值。SG 术后 6 个月，男女两性的蛋白质摄入量与去脂体重丢失呈显著负相关（p < 0.05）。
SG 术后患者常出现营养缺乏。因此，重要的是由专业团队对这些患者进行常规监测。
