Nuzzo Alexandre, Czernichow Sébastien, Hertig Alexandre, Ledoux Séverine, Poghosyan Tigran, Quilliot Didier, Le Gall Maude, Bado André, Joly Francisca
AP-HP, département de gastroentérologie, IBD and Intestinal Failure, hôpital Beaujon, Clichy, France. Université de Paris, Paris, France.
Université de Paris, Paris, France. AP-HP, service de nutrition, centre spécialisé obésité, Hôpital européen Georges-Pompidou, Paris, France . Inserm, UMR1153, Epidemiology and Biostatistics Sorbonne Paris Cité Center (CRESS), Paris, France.
Rev Prat. 2022 Feb;72(2):168-175.
NUTRITIONNAL COMPLICATIONS AND PATIENTS FOLLOW-UP AFTER BARIATRIC SURGERYBariatric surgery is the most consistently effective method for sustained weight reduction and can result in a substantial improvement in overall survival in patients with severe obesity. Complex mechanisms underlying metabolic benefits could also drive preventable, but potentially life-threatening, long-term nutritional complications. Consequently, physicians should be familiar with the lifelong monitoring of patients after bariatric surgery and the potential long-term complications in this paradoxical situation where the long-awaited weight loss can lead to severe nutritional complications.
减重手术后的营养并发症及患者随访
减重手术是持续减重最有效的方法,能显著提高重度肥胖患者的总体生存率。代谢益处背后的复杂机制也可能引发可预防但可能危及生命的长期营养并发症。因此,医生应熟悉减重手术后患者的终身监测,以及在这种矛盾情况下的潜在长期并发症,即期待已久的体重减轻可能导致严重的营养并发症。