重塑肠道:在肥胖患者的腹和内镜手术后的症状,营养和微生物群
Tommaso Mancuso1,2, Claudia Di Rosa3, Alessia Falcone4
1Research Unit of Gastroenterology, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128 Roma, Italy.
Nutrients
|January 10, 2026
概括
腹腔外科手术和内镜袖胃口塑造有助于减肥,但可能引起副作用. 个性化营养和微生物群调节是控制肥胖和改善结果的关键.
科学领域:
- 胃肠病学 胃肠病学
- 代谢障碍 代谢障碍 代谢障碍
- 微生物组研究 微生物组研究
背景情况:
- 肥胖是一种复杂的疾病,与炎症,代谢问题和肠道失调有关.
- 腹腔外科手术 (BS) 和内镜袖胃口整形手术 (ESG) 提供减肥的好处,但会带来胃肠道和营养并发症的风险.
研究的目的:
- 审查胃肠道副作用,肠道微生物群的变化以及BS和ESG之后的营养管理.
- 综合当前关于通过多学科护理优化患者结果的证据.
主要方法:
- 在PubMed和Scopus进行了结构化的文献搜索.
- 在没有时间限制的情况下,包括了关于术后症状,微生物群和营养结果的英语全文文章.
主要成果:
- BS和ESG可以导致不良事件,如倾销综合征,GERD,恶心和微量营养素缺乏.
- 程序显著改变肠道微生物群,有助于新陈代谢调节;ESG在类似的微生物转移中显示出有利的安全概况.
- 在长期管理方面,地中海饮食可能比高蛋白饮食更可持续.
结论:
- 综合手术/内镜方法与个性化营养和微生物群调节的多学科护理至关重要.
- 有效的营养管理,包括饮食进展和补充,对于预防缺陷和确保持续的结果至关重要.
- 需要进一步研究更大的队列和更长的ESG后续工作,以提高概括性.
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