减肥手术10年后患者的贫血
Mimmi Karlsson1, Johan Ottosson2, Spencer Clarkson3
1Department of Gastroenterology and Nutrition, Skåne University Hospital, Malmö, Sweden.
International journal of obesity (2005)
|November 9, 2024
概括
贫血仍然是一个重要的担忧5年和10年后的腹部外科手术,即使在补充铁. 持续监测和治疗对于管理减肥手术后这种常见并发症至关重要.
科学领域:
- 腹部外科手术的结果
- 营养缺乏症 营养缺乏症
- 血液学 血液学 血液学
背景情况:
- 肥胖影响全球人口的10%以上,减肥手术是有效的治疗方法.
- 营养缺乏,包括贫血,是空腹手术后已知的风险.
- 关于减肥手术后贫血患病率的长期数据有限.
研究的目的:
- 为了调查贫血的发病率在5年和10年后的低血压手术.
- 评估贫血和正在进行的替代疗法之间的关系.
主要方法:
- 来自斯堪的纳维亚肥胖外科注册 (SOReg) (2007-2022) 的注册数据的分析.
- 包括39992名接受初级减肥手术和5年或10年随访的患者.
- 收集的数据包括人口统计,手术方法,血红蛋白水平和补充剂使用.
主要成果:
- 贫血的患病率是20.3%的女性和11.2%的男性在5年,和18.9%的女性和18.8%的男性在10年.
- 10年后,口服铁补充剂从40%增加到45%.
- 在过去的十年中,亲肠道铁的使用量从5%上升到11%.
结论:
- 贫血是减肥手术多年后常见且可控的并发症.
- 目前的铁补充策略可能无法在所有患者中完全恢复血红蛋白水平.
- 定期的随访和持续的补充对于治疗贫血而言至关重要.
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