目前的临床实践指南营养查前后袖子胃切除术和Roux-En-Y胃绕道:一个范围审查
Nele Steenackers1,2, Lotte de Boer1, Charlotte Dekempeneer3
1Clinical and Experimental Endocrinology, Department of Chronic Diseases and Metabolism, University of Leuven, Herestraat 49 - Box 7003, 3000, Leuven, Belgium.
Current obesity reports
|January 31, 2025
概括
代谢性减肥手术患者需要定期进行营养查,因为并发症风险很高. 指南始终建议查时间,但生化标志物和截止值需要协调,以获得更好的患者护理.
科学领域:
- 腹部外科 腹部外科
- 营养科学 营养科学
- 临床实践指南 临床实践指南
背景情况:
- 代谢性减肥手术增加了长期营养并发症的风险.
- 密切监测营养状况对于手术后的患者安全至关重要.
研究的目的:
- 确定和分析临床实践指南,用于在代谢性减肥手术前后进行营养查.
- 评估查时间,生化标志物和截止值在指南中的一致性.
主要方法:
- 在主要数据库 (MEDLINE,EMBASE,CINAHL,TRIP) 和相关社会网站中进行范围范围的文献搜索.
- 包括指导方针,建议进行袖子胃切除术或Roux-en-Y胃绕道营养查.
- 内容的选时间,生物化学标记,切断值,以及由两个独立审查员进行的测试.
主要成果:
- 来自26个学术协会的9个临床实践指南被确定.
- 大多数指导方针建议进行手术前查,并在3,6,12,24个月后进行随访,然后每年进行一次.
- 对于铁,维生素B12,叶酸,和维生素D有建议;对于其他微量营养素则较少. 只有两个指导方针提供了诊断截止值.
结论:
- 临床实践指南显示,在减肥手术后的营养查时间上存在很高的一致性.
- 在推的生化标志物和诊断截止值中存在显著差异.
- 生物化学标记和切线值的协调对于一致的营养监测至关重要.
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