严重营养不良的管理 使用人工营养进行腹痛术后手术
Sarah Chalopin1, Pierre Bel Lassen1,2, Laurent Genser2,3
1Assistance Publique-Hôpitaux de Paris (AP-HP), Pitié-Salpêtrière Hospital, Nutrition Department, Sorbonne University, Institute of Cardiometabolism and Nutrition (ICAN), 47-83 boulevard de l'Hôpital, 75013, Paris, France.
Obesity surgery
|December 20, 2023
概括
人工营养 (AN) 有效地解决了减肥手术 (BS) 后的严重营养不良,改善了营养状况和力量. 这种方法对于经历BS后并发症的患者来说似乎是安全的,有助于恢复和重量恢复.
科学领域:
- 腹部外科 腹部外科
- 营养科学 营养科学
- 胃肠病学 胃肠病学
背景情况:
- 腹腔外科手术 (BS) 导致显著的体重减轻,但可能导致由于吸收不良或并发症导致营养不良.
- 人工营养 (AN) 对BS后营养不良的疗效尚未得到充分证实.
研究的目的:
- 为了评估人工营养 (AN) 的安全性和有效性,在严重营养不良的患者减肥手术 (BS).
主要方法:
- 一个病例系列18个严重营养不良的患者BS后管理与AN超过四年.
- 收集的数据包括患者人口统计,手术史,营养参数和结果.
主要成果:
- 大多数患者 (90%) 接受了肠道营养,体重恢复 (+4.7kg) 和血清白蛋白 (+28%) 和前白蛋白 (+88%) 的改善.
- 在AN管理期间没有发生重大并发症或死亡.
- 中位数的AN持续时间为4.5个月,随访期间平均每患者住院2.5次.
结论:
- 人工营养 (AN) 是一种安全有效的干预措施,用于减肥手术 (BS) 后的营养不良.
- 营养不良的危险因素包括手术并发症,饮食障碍,多次修复手术和怀孕.
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