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肥胖症手术前后的营养缺乏:预防与治疗。

Nutritional Deficiencies Before and After Bariatric Surgery: Prevention and Treatment.

机构信息

Diabetes and Obesity Unit, Athens Medical Center, Athens, 15125, Greece.

First Department of Propaedeutic Internal Medicine, School of Medicine, National and Kapodistrian University of Athens, Laiko General Hospital, Athens, Greece.

出版信息

Curr Nutr Rep. 2022 Jun;11(2):95-101. doi: 10.1007/s13668-022-00400-9. Epub 2022 Feb 16.

Abstract

PURPOSE OF REVIEW

Bariatric surgery has the unique ability to drive substantial and sustainable weight loss in people living with obesity. Non-reversibility of these surgical techniques provides lifelong benefits but entails the need for continuous medical follow-up. The purpose of the current paper is to review and summarize current data on nutritional deficiencies in patients before and after bariatric surgery.

RECENT FINDINGS

The cornerstone of preventing the emergence of disorders related to nutritional deficiencies is preoperative screening and correct supplementation since they may be exacerbated postoperatively. Following guidelines in conjunction to a lifelong personalized medical approach is of high importance. Bariatric surgery is a well-studied successful and durable means of weight loss that may lead to nutritional deficiencies. There is, thus, a medical need for careful monitoring and treatment of micro- and macronutrient deficiencies by an experienced multidisciplinary team.

摘要

目的综述

减重手术具有显著且可持续地减轻肥胖患者体重的独特能力。这些手术技术不可逆,为患者带来终身受益,但需要持续的医疗随访。目前本文的目的是回顾和总结减重手术前后患者的营养缺乏症的最新数据。

最近发现

预防与营养缺乏相关的疾病出现的关键是术前筛查和正确补充,因为这些问题可能在术后加重。遵循指南并结合终身个性化医疗方法非常重要。减重手术是一种经过充分研究的成功且持久的减肥方法,可能导致营养缺乏。因此,需要由经验丰富的多学科团队仔细监测和治疗微量营养素和宏量营养素缺乏症。

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