腹部外科手术患者的术后微量营养素变化符合营养补充剂的要求
Lakhvir Kaur Sandhu1, Rohan M Shah2, Bipan Chand3
1Loyola University Chicago Stritch School of Medicine, 2160 First Ave, Maywood, IL, USA. lsandhu@luc.edu.
Surgical endoscopy
|September 29, 2023
概括
适应营养补充剂的腹部外科手术患者没有显示微量营养素缺乏的增加. 手术后的维生素B12水平下降,但其他标志物保持稳定,无论手术类型如何.
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:
- 减肥手术对于管理肥胖和相关疾病至关重要.
- 术后营养缺陷是一个重大的挑战,尽管补充.
- 患者对营养补充剂的坚持有所不同,影响结果.
研究的目的:
- 评估Roux-en-Y胃绕道术 (RYGB) 和垂直袖子胃切除术 (VSG) 后符合补充剂的患者的微量营养素生物化学概况.
- 在符合条件的患者中识别腹腔外科手术后营养标记的任何变化.
主要方法:
- 一项11点调查评估了RYGB和VSG患者 (≥18岁) 的营养补充剂坚持.
- 对手术前和手术后实验室值 (维生素A,B1,B12,D,TSH,铁,叶酸,等) 的医疗记录的回顾性审查. ) 的情况.
- 术前和术后值的比较以及RYGB和VSG组之间的比较.
主要成果:
- 大多数营养标志物在术前和术后值之间没有显著差异.
- 手术后观察到维生素B12水平的显著下降 (85.0%正常的手术前与61.5%的术后).
- 在RYGB和VSG手术之间没有发现术后缺陷的差异.
结论:
- 接受减肥手术的合规患者没有表现出恶化的微量营养素缺乏症.
- 手术技术 (RYGB与VSG) 没有影响术后微量营养素缺乏.
- 维生素B12的监测非常重要,即使在符合条件的患者中,也非常重要.
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