Manažment po bariatrickej chirurgii
Autoři:
Dana Müllerová 1; Martin Fried 2
Působiště autorů:
Department of Public Health and Preventive Medicine & 1st Medical Department, Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic
1; OB Clinic, Center for Treatment of Obesity and Metabolic Disorders & 1st Faculty of Medicine, CU, Prague, Czech Republic
2
Vyšlo v časopise:
Forum Diab 2018; 7(2): 126-131
Kategorie:
Přehledová práce
Souhrn
Bariatrická chirurgia je jedinou dokázanou účinnou dlhodobou liečbou na redukciu telesnej hmotnosti pri ťažkej obezite a s ňou súvisiacich komorbiditách. Mimoriadne dôležitou pre pre dosiahnutie dlhodobého úspechu, ale aj pre prevenciu možných vážnych klinických udalostí je celková interdisciplinárna podpora po bariatrickom chirurgickom zákroku. Autori v práci prezentujú algoritmy zamerané na sledovanie pacientov po bariatrickej chirurgii, načasovanie, progresiu jedla, zloženie stravy, ako aj príslušné klinické, laboratórne a nutričné kontroly spojené s konkrétnymi bariatrickými postupmi. Sumarizujú odporúčané dávky bielkovín, suplementáciu mikronutrientov po operáciách obmedzujúcich absorpciu živín, kapacitu žalúdka alebo po kombinovaných operáciách v súlade so súčasnými odporúčaniami. Diskutujú manažment pacientiek po bariatrickej chirurgii v predgestačnom období a počas tehotenstva.
Kľúčové slová:
bariatrická chirurgia, diétny manažment, nutričné deficity
Zdroje
- Buchwald H, Oien DM. Metabolic/bariatric surgery Worldwide 2008. Obes Surg 2009; 19(12): 1605–1611. Available on DOI: <http://dx.doi.org/10.1007/s11695–009–0014–5>.
- KhorgamiY, Shoar S, Andalib A et al. Trends in utilisation of bariatric surgerz, 2010–2014:sleeve gastrectomy dominates. Surg Obes Relat Dis 2017; 13(5): 774–778. Available on DOI: <http://dx.doi.org/10.1016/j.soard.2017.01.031>.
- Buchwald H, Avidor Y, Braunwald E et al. Bariatric surgery: a systematic review and meta-analysis. JAMA 2004; 292(14): 1724–1737. Available on DOI: <http://dx.doi.org/10.1001/jama.292.14.1724>. Erratum in JAMA 2005; 293(14): 1728.
- Skroubis G, Sakellaropoulos G, Pouggouras K et al. Comparison of nutritional deficiencies after Roux-en-Y gastric bypass and after biliopancreatic diversion with Roux-en-Y gastric bypass. Obes Surg 2002; 12(4): 551–558. Available on DOI: <http://dx.doi.org/10.1381/096089202762252334>.
- Aasheim ET, Björkman S, Søvik TT et al. Vitamin status after bariatric surgery: a randomized study of gastric bypass and duodenal switch. Am J Clin Nutr 2009; 90(1): 15–22. Available on DOI: <http://dx.doi.org/10.3945/ajcn.2009.27583>. Erratum in Am J Clin Nutr 2010; 91(1): 239–240.
- Shankar P, Boylan M, Sriram K. Micronutrient deficiencies after bariatric surgery. Nutrition 2010; 26(11–12): 1031–1037. Available on DOI: <http://dx.doi.org/10.1016/j.nut.2009.12.003>.
- Bloomberg RD, Fleishman A, Nalle JE et al. Nutritional deficiencies following bariatric surgery: what have we learned? Obes Surg 2005; 15(2): 145–154. Available on DOI: <http://dx.doi.org/10.1381/0960892053268264>.
- Rubino F, R’bibo SL, del Genio F et al. Metabolic surgery: the role of the gastrointestinal tract in diabetes mellitus. Nat Rev Endocrinol. 2010; 6(2): 102–109. Available on DOI: <http://dx.doi.org/10.1038/nrendo.2009.268>.
- Ochner CN, Gibson C, Shanik M et al. Changes in neurohormonal gut peptides following bariatric surgery. Int J Obes (Lond) 2011; 35(2): 153–166. Available on DOI: <http://dx.doi.org/10.1038/ijo.2010.132>.
- Knop FK. Resolution of type 2 diabetes following gastric bypass surgery: involvement of gut-derived glucagon and glucagonotropic signalling? Diabetologia 2009; 52(11): 2270–2276. Available on DOI: <http://dx.doi.org/10.1007/s00125–009–1511–8>.
- Scopinaro N. Biliopancreatic diversion: mechanisms of action and long-term results. Obes Surg 2006; 16(6): 683–689. Available on DOI: <http://dx.doi.org/10.1381/096089206777346637>.
- Mechanick JI, Kushner RF, Sugerman HJ et al. [American Association of Clinical Endocrinologists; Obesity Society; American Society for Metabolic & Bariatric Surgery]. American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery medical guidelines for clinical practice for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient. Obesity (Silver Spring) 2009; 17(Suppl 1): S1-S70. Available on DOI: <http://dx.doi.org/10.1038/oby.2009.28> Erratum in Obesity (Silver Spring) 2010; 18(3): 649.
- Snyder-Marlow G, Taylor D, Lenhard MJ. Nutrition care for patients undergoing laparoscopic sleeve gastrectomy for weight loss. J Am Diet Assoc 2010; 110(4): 600–607. Available on DOI: <http://dx.doi.org/10.1016/j.jada.2009.12.022>.
- Barth MM, Jenson CE. Postoperative nursing care of gastric bypass patients. Am J Crit Care 2006; 15(4): 378–387; quiz 388.
- Furtado LC. Nutritional management after Roux-en-Y gastric bypass. Br J Nurs 2010 ; 19(7): 428–436. Available on DOI: <http://dx.doi.org/10.12968/bjon.2010.19.7.47440>.
- Fried M, Hainer V, Basdevant A et al. Interdisciplinary European guidelines on surgery for severe obesity. Obesity Facts 2008; 1(1):52–59. Available on DOI: <http://dx.doi.org/10.1159/000113937>.
- Fried M, Yumuk V, Opert JM, et al. [International Federation for Surgery of Obesity and Metabolic Disorders –European Chapter (IFSO-EC); European Association for the Study of Obesity (EASO); European Association for the Study of Obesity Management Task Force (EASO OMTF)]. Interdisciplinary European guidelines on metabolic and bariatric surgery. Obes Surg 2014; 24(1): 42:55. Available on DOI: <http://dx.doi.org/10.1007/s11695–013–1079–8>.
- Sjöström L, Narbro K, Sjöström CD et al. [Swedish Obese Subjects Study]. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med. 2007; 357(8): 741–752. Available on DOI: <http://dx.doi.org/10.1056/NEJMoa066254>.
- Wilt TJ, Shaukat A, Shamliyan T et al. Lactose intolerance and health. Evid Rep Technol Assess (Full Rep) 2010; (192): 1–410.
- Salameh BS, Khoukaz MT, Bell RL. Metabolic and nutritional changes after bariatric surgery. Expert Rev Gastroenterol Hepatol 2010; 4(2): 217–223. Available on DOI: <http://dx.doi.org/10.1586/egh.09.67>. Erratum in Expert Rev Gastroenterol Hepatol 2010; 4(3): 386.
- Marsk R, Jonas E, Rasmussen F et al. Nationwide cohort study of post-gastric bypass hypoglycaemia including 5,040 patients undergoing surgery for obesity in 1986–2006 in Sweden. Diabetologia 2010; 53(11): 2307–2311. Available on DOI: <http://dx.doi.org/10.1007/s00125–010–1798–5>.
- Ziegler O, Sirveaux MA, Brunaud L et al. Medical follow up after bariatric surgery: nutritional and drug issues. General recommendations for the prevention and treatment of nutritional deficiencies. Diabetes Metab 2009; 35(6 Pt 2): 544–557. Available on DOI: <http://dx.doi.org/10.1016/S1262–3636(09)73464–0>.
- Mia MA, Mechanick JI. Nutritional and Micronutrient care of bariatric surgery patients: Current evidence update. Curr Obes Rep 2017; 6(3): 286–296. Available on DOI: <http://dx.doi.org/10.1007/s13679–017–0271-x>.
- Aarts EO, Janssen IM, Berends FJ. The gastric sleeve: losing weight as fast as micronutrients? Obes Surg 2011; 21(2): 207–211. Available on DOI: <http://dx.doi.org/10.1007/s11695–010–0316–7>.
- Bacci V, Silecchia G. Vitamin D status and supplementation in morbid obesity before and after bariatric surgery. Expert Rev Gastroenterol Hepatol 2010; 4(6): 781–794. Available on DOI: <http://dx.doi.org/10.1586/egh.10.69>.
- Williams SE. Metabolic bone disease in the bariatric surgery patient. J Obes 2011; 2011:634614. Available on DOI: <http://dx.doi.org/10.1155/2011/634614>.
- Faintuch J, Matsuda M, Cruz ME et al. Severe protein-calorie malnutrition after bariatric procedures. Obes Surg 2004; 14(2): 175–181. Available on DOI: <http://dx.doi.org/10.1381/096089204322857528>.
- Malone M. Recommended nutritional supplements for bariatric surgery patients. Ann Pharmacother 2008; 42(12): 1851–1858. Available on DOI: <http://dx.doi.org/10.1345/aph.1L321>.
- Kuehn M. Guideline for pregnancy weight gain offers targets for obese women. JAMA 2009; 302(3): 241–242. Available on DOI: <http://dx.doi.org/10.1001/jama.2009.964>.
Štítky
Diabetologie Endokrinologie Interní lékařstvíČlánek vyšel v časopise
Forum Diabetologicum
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2018 Číslo 2
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