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在减肥外科手术过程中对食物耐受性的比较:一个系统的审查

Marieh Salavatizadeh¹, Mohammad Reza Amini¹, Fereshteh Abbaslou²

¹Student Research Committee, Department of Clinical Nutrition and Dietetics, Faculty of Nutrition Sciences and Food Technology, National Nutrition & Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery

|November 21, 2024

概括

胃带 (GB) 手术导致手术后食物耐受性 (FT) 最低. 袖子胃切除术 (SG) 和Roux-en-Y胃绕道术 (RYGB) 显示类似的FT,而RYGB提供更好的蛋白质耐受性.

科学领域:

腹部外科腹部外科
胃肠病学胃肠病学
营养科学营养科学

背景情况:

食物耐受性降低 (FT) 是一个常见的腹腔外科手术后并发症.
FT可能会对营养状况和减肥结果产生负面影响.
在不同低体重手术中比较FT对于患者管理至关重要.

研究的目的:

为了比较胃带带 (GB),袖子胃切除术 (SG) 和Roux-en-Y胃绕道 (RYGB) 对术后食物耐受性的影响.
为了识别减肥手术类型之间的食物组耐受性差异.

主要方法:

在Scopus,PubMed,Web of Science和Google Scholar的系统文献搜索到2023年8月.
包括27项研究 (4366名成年人),研究设计不同 (队列,干预,横截面).
使用营养质量问卷评估整体FT的评估,评估从手术后1个月到5年的耐受性.

主要成果:

胃带 (GB) 患者的整体食物耐受性最低.
袖子胃切除术 (SG) 和Roux-en-Y胃绕道术 (RYGB) 显示了可比的整体FT.
与SG患者相比,RYGB患者对富含蛋白质的食物 (肉类,鱼类) 的耐受性更好.
SG和RYGB患者都能很好地容忍蔬菜和鱼类,但对红肉和谷物耐受性较低.
在第一个术后一年后,在SG和RYGB患者中观察到良好的FT水平.

结论:

与SG和RYGB相比,胃带带与明显较差的食物耐受性有关.
SG和RYGB提供了可比的整体食物耐受性,而RYGB为蛋白质摄入提供了优势.
对SG和RYGB患者来说,长期的食物耐受性得到改善,这表明随着时间的推移适应能力.

关键词:

饮食饮食饮食饮食代谢手术是一种代谢手术.肥胖的手术是为了减肥.在Roux-en-Y的胃旁路术中.袖子胃切除术是什么意思

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