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Aktuelle Ernährungsmedizin 2018; 43(01): 28-33
DOI: 10.1055/s-0044-101478
DOI: 10.1055/s-0044-101478
Übersicht
Chirurgische und metabolische Komplikationen nach bariatrischen Operationen – Ernährungsempfehlungen
Surgical and Metabolic Complications after Bariatric Surgery – Dietary RecommendationsFurther Information
Publication History
Publication Date:
27 February 2018 (online)
Zusammenfassung
Der Artikel gibt eine Übersicht chirurgischer und metabolischer Komplikationen nach bariatrischer Chirurgie, deren Behandlung nur interdisziplinär erfolgen kann. Schwere chirurgische Komplikationen sind selten und die Mortalität sehr niedrig. Es liegen jedoch auch Fallberichte mit Mangelernährung durch Kurzdarmsyndrom und Indikation zur parenteralen Ernährung vor. Die chirurgische Induktion eines Gewichtsverlustes bedeutet eine veränderte Nahrungspassage und -absorption. Bereits präoperativ bestehende Ernährungsdefizite müssen einkalkuliert werden. Die Prävention einer Osteoporose oder Wernicke-Enzephalopathie erfordert frühzeitige postoperative Verlaufskontrollen mit Ernährungsberatung und lebenslanger Supplementierung mit Vitaminen und Spurenelementen.
Abstract
The narrative review presents surgical and metabolic complications after bariatric surgery. Multidisciplinary treatment is mandatory. Severe surgical complications are uncommon, and mortality is very low. However, there are case reports about malnutrition by short bowel syndrome and the indication for long-term parenteral nutrition. In order to induce weight loss by surgery alteration of food passage and absorption is included. While preoperative nutritional deficiencies have to be kept in mind, metabolic long-term complications like osteoporosis or Wernicke encephalopathy have to be prevented by early medical follow-up with dietary advice and lifelong supplementation of vitamins and trace elements.
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