Nutritional and metabolic complications of bariatric surgery
Nutritional and metabolic complications of bariatric surgery
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DOI：
10.1097/00000441-200604000-00009
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发表时间：
2006-04-01
影响因子：
3.1
通讯作者：
Malinowski, SS
中科院分区：
文献类型：
--
作者：
Malinowski, SS
减肥手术是治疗临床严重肥胖患者的有效方法。除了显著的体重减轻外，它还与合并症的改善有关。不幸的是，减肥手术也有可能导致各种营养和代谢并发症。这些并发症主要是由于患者胃肠道发生的广泛手术引起的解剖学变化，特别是Roux-en-Y胃旁路术和胆胰分流术。垂直带状胃成形术的并发症主要是由于特定营养素的摄入量减少。大量营养素缺乏症包括严重的蛋白质热量营养不良和脂肪吸收不良。最常见的微量营养素缺乏症是维生素1312、铁、钙和维生素D。其他可能导致严重并发症的微量营养素缺乏包括硫胺素，叶酸和脂溶性维生素。咨询、监测、营养和矿物质补充对于治疗和预防减肥手术后的营养和代谢并发症至关重要。
Bariatric surgery is an effective treatment for patients with clinically severe obesity. In addition to significant weight loss, it is also associated with improvements in comorbidities. Unfortunately, bariatric surgery also has the potential to cause a variety of nutritional and metabolic complications. These complications are mostly due to the extensive surgically induced anatomical changes incurred by the patient's gastrointestinal tract, particularly with roux-en-Y gastric bypass and biliopancreatic diversion. Complications associated with vertical banded gastroplasty are mostly due to decreased intake amounts of specific nutrients. Macronutrient deficiencies can include severe proteincalorie malnutrition and fat malabsorption. The most common micronutrient deficiencies are of vitamin 1312, iron, calcium, and vitamin D. Other micronutrient deficiencies that can lead to serious complications include thiamine, folate, and the fat-soluble vitamins. Counseling, monitoring, and nutrient and mineral supplementation are essential for the treatment and prevention of nutritional and metabolic complications after bariatric surgery.