肥胖已成为全球普遍关注的健康问题.减重手术已广泛应用于重度肥胖患者,不仅可以显著减轻体重,而且还对肥胖相关的内分泌代谢紊乱(特别是2型糖尿病)产生有利影响.然而,也有一些患者出现了较严重的并发症,包括围手术期及长期随访的营养代谢相关并发症,其中多数并发症的病因为宏量及微量营养素摄人不足或不均衡.因此,应警惕减重手术术后患者可能发生的营养缺乏及其症状.早期给予预防性治疗以有效避免代谢并发症的发生,最终获得良好的临床结局.%Obesity is an increasing health concern in the world. Bariatric surgery has increasingly been applied for patients with severe obesity. Not only can bariatric surgery dramatically reduce body weight but also can produce favorable effects on disorders in endocrine metabolism (especially type 2 diabetes), However, this intervention involves a profound change in digestive physiology and may cause nutrition metabolism-related severe complications, which mainly result from the deficiency or unbalance of macronutrients and micronutrients. Therefore, bariatric patients need to be aware of possible nutritional deficiencies and their symptoms. It is also necessary to give early preventive nutritional support, so as to prevent metabolic complications and achieve better outcomes.
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