Manažment po bariatrickej chirurgii
Authors:
Dana Müllerová 1; Martin Fried 2
Authors‘ workplace:
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
Published in:
Forum Diab 2018; 7(2): 126-131
Category:
Review Article
Overview
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
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Diabetology Endocrinology Internal medicineArticle was published in
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