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中华普外科手术学杂志(电子版) ›› 2026, Vol. 20 ›› Issue (01) : 9 -11. doi: 10.3877/cma.j.issn.1674-3946.2026.01.003

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我国腹腔镜减重代谢手术后营养不良及管理
王伦, 周昕, 宁伟伟, 杨清旭, 胡旭, 何诣航, 谢铭()   
  1. 563000 贵州遵义,遵义医科大学附属医院胃肠外科
  • 收稿日期:2024-11-26 出版日期:2026-02-26
  • 通信作者: 谢铭

Malnutrition and management after laparoscopic bariatric and metabolic surgery in China

Lun Wang, Xin Zhou, Weiwei Ning, Qingxu Yang, Xu Hu, Yihang He, Ming Xie()   

  1. Department of Gastrointestinal Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi Guizhou Province 563000, China
  • Received:2024-11-26 Published:2026-02-26
  • Corresponding author: Ming Xie
  • Supported by:
    Guizhou Provincial Basic Research Program (Natural Science)(QianKeHe Basic -[2024]Youth 320); The Natural Science Research Project of universities of Education Department of Guizhou Province(Qianjiaoke [2024]131); The High-Quality Development Medical Research Joint Fund Project of Health Care in Guizhou Province(2024GZYXKYJJXM156)
引用本文:

王伦, 周昕, 宁伟伟, 杨清旭, 胡旭, 何诣航, 谢铭. 我国腹腔镜减重代谢手术后营养不良及管理[J/OL]. 中华普外科手术学杂志(电子版), 2026, 20(01): 9-11.

Lun Wang, Xin Zhou, Weiwei Ning, Qingxu Yang, Xu Hu, Yihang He, Ming Xie. Malnutrition and management after laparoscopic bariatric and metabolic surgery in China[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2026, 20(01): 9-11.

减重代谢手术因其极佳的减重及代谢病缓解疗效,该种治疗手段已被国内外广泛应用于肥胖及其相关代谢病的治疗。然而,与其他外科手术不同的是,减重代谢手术因其切除大部分胃组织和(或)转流了部分小肠,这使其发生营养不良的风险得以增加。营养不良是减重代谢术后常见的临床问题,在实现有效减重、缓解代谢病的同时,预防营养不良相关并发症至关重要。本文就减重代谢手术后营养不良的发生机制、发生率及术后管理进行综述,以期为临床工作提供参考。

Bariatric and metabolic surgery has been widely adopted both domestically and internationally for the treatment of obesity and its-related metabolic disorders, owing to its excellent efficacy in weight loss and metabolic disease remission. However, unlike other surgical procedures, bariatric and metabolic surgery, by removing a large portion of the stomach tissue and/or bypassing part of the small intestine, increases the risk of malnutrition. Malnutrition is a common clinical problem after bariatric and metabolic surgery, thus it is crucial to prevent complications related to malnutrition while achieving effective weight loss and alleviating metabolic diseases. This article reviews the mechanism, incidence, and postoperative management of malnutrition after bariatric and metabolic surgery, with the aim of providing reference for clinical work.

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