Postoperative Nutrition and Nutritional Complications in Patients with Bariatric Surgery: An Update
Bariatrik Cerrahi Geçiren Hastalarda Postoperatif Beslenme ve Beslenme ile İlgili Komplikasyonlar: Güncelleme
Received Date : 13 May 2021
Accepted Date : 01 Sep 2021
Available Online : 05 Oct 2021
Doi: 10.25179/tjem.2021-84450 - Makale Dili: EN
Turk J Endocrinol Metab. 2021;25:412-425
Bu makale, CC BY-NC-SA altında lisanslanmış açık erişim bir makaledir.
Bariatric surgery is the most effective therapeutic option for long-term weight loss among patients with morbid obesity. Nutrition after bariatric surgery is a very specialized condition. The most severe complications that can develop after bariatric surgery are nutritional deficiencies and the diseases related to them, such as anemia and osteoporosis. Screening associated with nutritional deficiencies should be performed preoperatively to optimize the postoperative outcomes and the nutritional status of patients. Bariatric surgeries such as Roux-en-Y gastric bypass (RYGB) and biliopancreatic diversion with duodenal switch (BPD-DS) reduce nutrient absorption. Moreover, bariatric surgery can exacerbate preexisting nutritional deficiencies. Patients who have undergone bariatric surgery should be followed up for common micronutrient deficiencies and protein-calorie malnutrition. There are gaps in the postoperative follow-up of these patients. This review aimed to focus on the postoperative nutritional strategies and nutritional complications in patients who have undergone bariatric surgery.
Bariatrik cerrahi ciddi obezitesi olan hastalar arasında uzun süreli kilo kaybında en etkili tedavi yöntemidir. Bariatrik cerrahi sonrası beslenme çok özel bir konudur. Bariatrik cerrahi sonrası gelişebilecek en ciddi komplikasyonlar beslenme yetersizlikleri ve bunlarla ilişkili anemi ve osteoporoz gibi hastalıklardır. Postoperatif sonuçları ve hastaların beslenme durumunu optimize etmek için beslenme yetersizlikleri ile ilişkili tarama preoperatif dönemde başlatılmalıdır. Roux-en- Y gastrik bypass (RYGB) ve biliopankreatik diversiyon-duodenal switch (BPD-DS) gibi ameliyatlar besin emilimini azaltır. Ayrıca, bariatrik cerrahi daha önceden var olan beslenme yetersizliklerini şiddetlendirebilir. Bariatrik cerrahi geçiren hastalar yaygın mikro besin eksiklikleri ve proteinkalori yetersizliği açısından takip edilmelidir. Bu hastaların postoperatif takiplerinde boşluklar vardır. Bu derleme makale, bariatrik cerrahi geçirmiş hastalarda postoperatif beslenme stratejilerine ve beslenme ile ilgili komplikasyonlara odaklanmayı amaçladı.
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