Manažment po bariatrickej chirurgii

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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: Prehľadové 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

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