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对于手套胃切除术患者的营养干预
Seonhye Park1, Sohye Kim1, Soyoun Kim1
1Nutrition Care Services, Seoul National University Bundang Hospital, Seongnam 13620, Korea.
Clinical nutrition research
|August 18, 2023
概括
袖子胃切除术有助于减肥,改善健康,但可能导致营养缺乏. 营养学家长期监测对于患者在腹部手术后预防营养不良至关重要.
科学领域:
- 腹部外科 腹部外科
- 营养科学 营养科学
- 内分泌学 在内分泌学.
背景情况:
- 袖子胃切除术对于持续减肥和改善2型糖尿病和代谢综合征等并发症是有效的.
- 这种手术涉及到胃部的很大一部分的去除,这可能会损害营养吸收,特别是铁,维生素B12和蛋白质结合的营养素.
- 营养不良和营养不足是袖子胃切除术后的潜在风险,原因是摄入量和吸收量减少.
研究的目的:
- 突出长期定期监测的必要性,进行袖子胃切除术的患者.
- 强调专业营养评估在预防营养不良和营养不足方面的作用.
- 介绍一个案例研究,说明袖子胃切除术后的生化和营养变化.
主要方法:
- 一个48岁的女性患有病态肥胖和并发症的案例研究.
- 在手术后1年评估生化数据,体重变化和热量/蛋白质摄入量.
- 术前和术后1年营养标志物的比较 (血红蛋白,铁素,维生素B12,,叶酸).
主要成果:
- 患者实现了显著的超重减轻 (141.1%) 和降低的BMI (21公斤/米2).
- 手术后的摄入量是每天650千卡和25克蛋白质.
- 虽然和叶酸保持稳定,但血红蛋白,费里丁和维生素B12水平在手术后下降.
结论:
- 频繁和长期的随访对于在袖子胃切除术后快速减肥的患者至关重要.
- 建议根据消化症状量身定制的饮食教育和口服营养补充剂的使用.
- 专业的营养监测对于预防营养不良和管理减肥手术患者的缺陷至关重要.
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