在代谢和减肥手术后补充维生素和微量营养素的务实策略
Hélène Chappard1, Ouidad Sami1, Imen Sakka1
1Explorations Fonctionnelles, Centre Intégré Nord Francilien de l'Obésité, Hôpital Louis Mourier (GHU APHP. Nord), Université Paris Cité, Colombes, France.
概括
在代谢和减肥手术 (MBS) 后,个性化的营养补充可以减少所需补充剂的数量. 定期监测确保不增加缺陷,但对骨和神经风险的警至关重要.
科学领域:
- 腹腔外科手术的结果
- 营养科学 营养科学
- 内分泌学 在内分泌学.
背景情况:
- 营养缺乏是代谢后和减肥手术 (MBS) 后常见的.
- 建议采用标准的多种维生素补充剂,但数据有限,患者的服药能力往往很低.
- 关于最佳补充策略的不确定性仍然存在.
研究的目的:
- 根据Roux-en-Y胃绕道术 (RYGB) 和袖子胃切除术 (SG) 后的生物测试来评估额外补充剂的必要性.
- 评估个性化补充剂对MBS后3年营养状况的影响.
主要方法:
- 一项涉及313名患者 (179名RYGB,134名SG) 的研究,在MBS后6个月,12个月和36个月前和后进行营养评估.
- 在MBS后,系统地处方多维生素片.
- 引入基于针对发现缺陷的标准化协议的额外补充.
主要成果:
- 虽然更多的RYGB患者需要额外的补充剂 (58.7%与SG的43.3%相比),但平均缺陷数量在3年后仍然相似.
- 脱发等营养症状很常见,但严重的神经症状很少见.
- 贫血不常见;然而,在RYGB (23%对SG9%) 后,二次性甲状腺功能障碍更为常见.
结论:
- 根据生物学参数量身定制的个性化补充方法,定期跟踪,可以尽量减少MBS后的营养补充剂摄入量,而不会增加缺陷.
- 需要持续保持警,特别是在潜在的骨和神经复杂症方面.
相关概念视频
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
853
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
853
Urinary Tract Calculi IV: Nutrition Therapy and Prevention
356
Management of renal calculi focuses on effective strategies like tailored nutrition and hydration therapy. Adjusting diet and fluid intake reduces stone formation and recurrence, making these interventions simple yet powerful in kidney stone prevention and management.Understanding Kidney StonesKidney stones form when calcium, oxalate, uric acid, and cystine concentrate and crystallize in urine. Factors contributing to their formation include genetic predisposition, certain medical conditions,...
356
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
644
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
644
Vitamins
2.3K
Vitamins, derived from the Latin word for life, are essential organic substances required in small quantities for optimal growth and overall well-being. Unlike other organic nutrients, vitamins don't act as sources of energy or building materials but rather facilitate these nutrients' utilization by the body. Vitamins are predominantly coenzymes, assisting enzymes in specific chemical actions, like the oxidation of glucose for energy involving B vitamins. Most vitamins are not produced...
2.3K
Enteral Nutrition I: Orogastric and Nasogastric Feeding
1.3K
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
1.3K
Drug Dosing: Obese Patients
225
In the United States, obesity is a prominent concern. It is linked to heightened mortality rates due to increased occurrences of conditions such as hypertension, atherosclerosis, coronary artery disease, and diabetes compared to nonobese individuals. A patient is classified as obese if their actual body weight surpasses the ideal or desirable body weight by 20%, based on Metropolitan Life Insurance Company data. Ideal body weights consider average weights and heights for males and females...
225


