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Updated: Feb 10, 2026

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扭转急性肝损伤后Roux-en-Y胃绕道的逆转,使用全方位腹营养
Carla Daou1, Fatma Mahmoud1, Doa'a Alkhader1
1Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, UAE.
ACG case reports journal
|February 9, 2026
概括
减肥手术后的严重营养不良可能导致急性肝损伤. 及时的全括管营养可以逆转患者的肝损伤和纤维化,突出显示了手术后需要营养支持的需要.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 胃肠病学 胃肠病学
- 腹部外科 腹部外科
背景情况:
- 急性肝损伤是减肥手术后的罕见但严重的并发症,特别是Roux-en-Y胃绕道.
- 营养不良和手术后显著的体重减轻可能会导致肝脏功能障碍.
研究的目的:
- 报告Roux-en-Y胃旁路术后的营养不良导致的次要急性肝损伤病例.
- 突出全括管营养在逆转肝损伤和改善结果方面的有效性.
主要方法:
- 一个病例报告,一名39岁的女性患者在Roux-en-Y胃绕道术后出现黄和肝功能障碍.
- 启动 5.5 个月的全方位肠外营养,同时监测肝功能,维生素水平和肝纤维化 (Fibroscan).
主要成果:
- 患者经历了,黄和肝功能障碍的解决.
- 在肝功能测试,维生素水平和纤维化逆转 (F3至F0/S2) 中观察到显著改善.
- 成功增加了8公斤的体重,避免了肝移植.
结论:
- 早期和持续的全腹腔营养可以有效地逆转营养不良后腹腔外科手术引起的急性肝损伤.
- 综合营养支持对于治疗减肥手术后的患者至关重要,以防止严重的并发症.
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