Optimisation of follow-up after metabolic surgery.
作者： Geltrude Mingrone , Stefan Bornstein , Carel W Le Roux
DOI: 10.1016/S2213-8587(17)30434-5
关键词:
摘要: Bariatric surgery has many benefits beyond weight loss, including improved control of glycaemia, blood pressure, and dyslipidaemia; hence, such been rebranded as metabolic surgery. The operations are, unfortunately, also associated with major surgical medical complications. complications include gastro-oesophageal reflux disease, malnutrition, deriving from vitamin mineral malabsorption. can be optimised by implementing specific protocols before after In this Review, we discuss the assessment risk cardiac severe obstructive sleep apnoea surgery, provision adequate lifelong postsurgery nutritional, vitamin, supplementation to reduce Additionally, examine best antidiabetic medications hypoglycaemia gastric bypass sleeve gastrectomy, strategies improve loss or regain. Although optimising clinical pathways is possible maximise risks micronutrient deficiencies, evolution these further risk-to-benefit ratio
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