减重手术的多学科诊疗与营养管理  

Multidisciplinary Team and Nutrition Management for Bariatric Surgery

作　　者：李子建[1] 于健春[1] LI Zijian;YU Jianchun(Department of General Surgery,PUMC Hospital,CAMS and PUMC,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院基本外科,北京100730

出　　处：《中国医学科学院学报》2018年第5期577-580,共4页Acta Academiae Medicinae Sinicae

摘　　要：减重手术是目前治疗病态肥胖症的唯一长期有效的治疗措施。由于肥胖患者常有多种合并症,且拟行减重手术的整个治疗过程相对繁杂,需要相关专业科室参与配合,因此组建以内分泌科、胃肠外科、营养科、心理科为基础的多学科团队是医院积极稳妥开展减重手术的必要保障。虽然减重手术对减轻体质量和改善肥胖相关合并症的疗效确切,但疾病的发展与转归具有时效性,且部分患者在减重手术后有发生蛋白质和/或微量营养素不良及其他并发症的风险,需要有专人对术后患者进行长期追踪管理。减重术后的中长期随访与营养管理主要关注以下两个方面:(1)体质量减轻和肥胖相关合并症的改善情况;(2)评估及治疗可能的营养缺乏和进食障碍。Bariatric surgery remains the most successful treatment for morbid obesity.Multiple departments may be involved due to the presence of various co-morbidities and the complex procedure.Thus,the establishment of a multidisciplinary team based on endocrinology,gastrointestinal surgery,nutrition,and psychology is important to ensure a successful bariatric surgery.Although the bariatric surgery has definite effectiveness in decreasing body weight and improving comorbidities,patients may still face the risks including protein and/or micronutrient malnutrition and other complications after the bariatric surgery.The medium-and long-term follow-up and nutrition management after bariatric surgery mainly focus on the following two aspects:weight loss and improvement of obesity-related complications;and assessment and treatment of possible nutritional deficiencies and eating disorders.

关 键 词：肥胖症 减重手术 多学科团队 营养管理 

分 类 号：R619[医药卫生—外科学] R723.14[医药卫生—临床医学]