Plastic and Reconstructive Surgery Unit, Department of Neurosciences, University of Padua, 35122 Padua, Italy.
Department of Biomedical Sciences, University of Padova, 35122 Padua, Italy.
Nutrients. 2021 May 6;13(5):1565. doi: 10.3390/nu13051565.
Body contouring surgery after the massive weight loss due to bariatric surgery deals with different kinds of complications. The aim of this review is to analyze the role that some nutrients may play in tissue healing after surgery, thus helping plastic surgeons to improve the aesthetic and health outcomes in massive weight loss patients under a multidisciplinary approach. As a matter of fact, preoperative nutritional deficiencies have been shown for vitamins and minerals in a large percentage of post-bariatric patients. Preoperative deficiencies mainly concern iron, zinc, selenium, and vitamins (both fat-soluble and water-soluble), but also total protein. During the postoperative period, these problems may increase because of the patients' very low intake of vitamins and minerals after bariatric surgery (below 50% of the recommended dietary allowance) and the patients' low compliance with the suggested multivitamin supplementation (approximately 60%). In the postoperative period, more attention should be given to nutritional aspects in regard to the length of absorptive area and the percentage of weight loss.
由于减重手术导致大量体重减轻后进行的身体轮廓整形手术会出现各种并发症。本综述的目的是分析某些营养素在手术后组织愈合中可能发挥的作用，从而帮助整形医生通过多学科方法改善大量体重减轻患者的美学和健康结果。事实上，术前营养不足在很大比例的减重后患者中都表现为维生素和矿物质缺乏。术前主要缺乏铁、锌、硒和维生素（脂溶性和水溶性），但也缺乏总蛋白。在术后期间，由于患者在减重手术后（低于推荐膳食允许量的 50%）对维生素和矿物质的极低摄入以及对建议的多种维生素补充的低依从性（约 60%），这些问题可能会增加。在术后期间，应更加关注营养方面，考虑吸收面积的长度和减重的百分比。
