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对于经过袖子胃切除术的功能衰竭患者的营养考虑
Rachael R Majorowicz1, Abdallah Attia2, Heather M Bamlet1
1Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Department of Medicine, Mayo Clinic, Rochester, Minnesota.
概括
肥胖是脏病患者的一个主要问题,经常阻碍脏移植. 袖子胃切除术 (SG) 为这些患者提供了显著的体重减轻,但营养管理需要具体的指导方针.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 腹部外科 腹部外科
- 营养科学 营养科学
背景情况:
- 肥胖在病患者中很普遍,加速病的进展,并阻碍移植.
- 患有病的患者具有独特的代谢和营养需求.
- 在这个人群中,身体残疾使减肥通过传统的生活方式修改变得复杂.
研究的目的:
- 总结关于病患者的营养要求的文献,这些患者接受了袖子胃切除术 (SG) 作为移植的桥梁.
- 为这一群体提供SG前后营养管理指南.
- 为了解决有关养风险和肌肉损失的担忧,与脏病患者的SG相关.
主要方法:
- 对营养要求和管理策略的文献综述.
- 对患有脏疾病的患者SG结局现有数据的分析.
- 综合信息以制定有针对性的营养指南.
主要成果:
- 袖子胃切除术 (SG) 是移植候选人的安全有效的减肥选择.
- 缺少针对经过SG的病患者的具体营养指南.
- 需要监测和保存肌肉质量和功能后SG的策略.
结论:
- 肥胖的移植候选人可能会从SG中受益,但需要量身定制的营养支持.
- 需要进一步的研究,以建立基于证据的营养管理指南.
- 优化营养护理对于改善结果和移植获取至关重要.
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