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在减肥手术后增强康复的外科营养管理
Giovanna Flore1, Andrea Deledda1, Michele Fosci1
1Obesity Unit, Department of Medical Sciences and Public Health, University of Cagliari, 09124 Cagliari, Italy.
International journal of environmental research and public health
|October 14, 2023
概括
减肥手术后增强恢复 (ERABS) 协议优化了患者的康复,但往往没有遵循,特别是在手术前禁食方面. 遵守基于证据的ERABS营养指南对于减肥手术的成功至关重要.
科学领域:
- 腹部外科 腹部外科
- 手术营养是指手术营养.
- 代谢健康 代谢健康
背景情况:
- 肥胖是一个主要的健康问题,与慢性疾病和死亡率有关.
- 减肥手术 (BS) 对严重肥胖,特别是伴随疾病的严重肥胖是有效的.
- 减肥手术后增强康复 (ERABS) 协议旨在改善康复和手术结果.
研究的目的:
- 审查ERABS协议在营养方面的应用,可行性和有效性.
- 识别阻碍正确执行 ERABS 营养指南的障碍.
- 突出了ERABS营养实践中的研究差距.
主要方法:
- 与营养相关的ERABS协议的叙事审查.
- 检查手术前的禁食,手术期间的食,以及手术后的营养/补水建议.
- 遵守和基于证据的实践的分析.
主要成果:
- ERABS协议并不总是被正确地应用,尤其是在手术前禁食方面.
- 不坚持通常是基于非基于证据的推理.
- 对于某些ERABS营养实践,研究存在差距.
结论:
- 优化 ERABS 协议的遵守,特别是营养方面,对于提高减肥手术的有效性至关重要.
- 需要进一步的研究来支持ERABS营养中的基于证据的实践.
- 标准化ERABS营养指南可以改善患者的治疗结果.
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