Aktuelle Ernährungsmedizin 2018; 43(01): 28-33
DOI: 10.1055/s-0044-101478
Übersicht
© Georg Thieme Verlag KG Stuttgart · New York

Chirurgische und metabolische Komplikationen nach bariatrischen Operationen – Ernährungsempfehlungen

Surgical and Metabolic Complications after Bariatric Surgery – Dietary Recommendations
Arved Weimann
Adipositaszentrum des Klinikums St. Georg Leipzig
,
Nadine Oberänder
Adipositaszentrum des Klinikums St. Georg Leipzig
,
Jana Hösel
Adipositaszentrum des Klinikums St. Georg Leipzig
› Author Affiliations
Further 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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