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胰腺切除术后的患者是否可以从微量营养素补充中受益?
Mary E Phillips1,2, Kathryn H Hart2, Adam E Frampton3,4
1Department of Nutrition and Dietetics, Royal Surrey Hospital, Guildford GU2 7XX, UK.
Nutrients
|June 28, 2023
概括
胰腺双管切除术 (PD) 患者往往缺乏维生素和矿物质. 常规补充剂有助于一些人,但缺铁,维生素D和仍然存在,需要持续监测.
科学领域:
- 胃肠病学 胃肠病学
- 肝胆道手术 肝胆道手术
- 营养科学 营养科学
背景情况:
- 胰腺双管切除术 (PD) 改变了消化系统的解剖结构,可能会损害营养吸收.
- 微量营养素缺乏是PD后常见的,但对补充患者的数据有限.
研究的目的:
- 评估在PD后接受长期随访的患者中微量营养素缺乏的患病率.
- 评估常规维生素和矿物质补充剂对这些缺陷的影响.
主要方法:
- 对205名患者的医疗记录的回顾性审查 1-14年后PD.
- 对维生素A,D,E,铁,,,铜和水平的生物化学数据的分析.
- 评估副甲状腺激素水平.
主要成果:
- 普遍存在的缺陷包括维生素D (46%), (44%) 和铁 (42%).
- 常规补充与较少的维生素A,E和缺乏相关.
- 铁,维生素D和缺乏仍然很常见,尽管补充.
结论:
- 尽管常规补充剂,在铁,维生素D和的严重缺陷持续后PD.
- 对这些特定微量营养素的长期监测对于胰腺切除术后的患者至关重要.
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