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减重手术后 B1 维生素缺乏症的流行率和症状:系统评价和荟萃分析。

B1 Vitamin Deficiency After Bariatric Surgery, Prevalence, and Symptoms: a Systematic Review and Meta-analysis.

机构信息

Minimally Invasive Surgery Research Center, Hazrat-E Rasool General Hospital, Iran University of Medical Sciences, Tehran, Iran.

Department of Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Obes Surg. 2022 Sep;32(9):3104-3112. doi: 10.1007/s11695-022-06178-7. Epub 2022 Jul 1.

Abstract

B1 deficiency is a very prevalent complication of bariatric surgery. This study reviews prevalence and symptoms of B1 vitamin deficiency after bariatric surgery. PubMed, Scopus, and Web of Science published were searched up to 10 Feb 2022, with the following keywords: Roux-en-Y gastric bypass, one anastomosis gastric bypass, Omega bypass, Mini bypass, Bariatric surgery OR Bariatric surgery, metabolic surgery, Weight loss surgery, Classic gastric bypass, Loop gastric bypass, Gastric Bypass, thiamine OR thiamin, beriberi, B1. A total of 11 studies examining 1494 patients were included in this meta-analysis. Twenty-seven percent of patients who underwent bariatric surgeries experience vitamin B1 deficiency. Thiamine supplements should be prescribed for the patients for the rest of their lives, and also standard post-surgery follow-ups are necessary in terms of monitoring dietary factors.

摘要

B1 缺乏是减重手术的一种非常普遍的并发症。本研究回顾了减重手术后 B1 维生素缺乏的患病率和症状。检索了截至 2022 年 2 月 10 日的 PubMed、Scopus 和 Web of Science 发表的文章,使用了以下关键词:Roux-en-Y 胃旁路术、单吻合口胃旁路术、Omega 旁路术、迷你旁路术、减重手术或减重手术、代谢手术、减肥手术、经典胃旁路术、Loop 胃旁路术、胃旁路术、硫胺素或硫胺、脚气病、B1。本荟萃分析共纳入了 11 项研究的 1494 名患者。接受减重手术的患者中有 27% 会出现维生素 B1 缺乏。应该为患者终生开处硫胺素补充剂,并且还需要进行标准的术后随访,以监测饮食因素。

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