Colleen Tewksbury, Larissa Mahoney, Raquel Shover, Phyllis A Schiavone
{"title":"长期减肥手术护理中营养支持的考虑。","authors":"Colleen Tewksbury, Larissa Mahoney, Raquel Shover, Phyllis A Schiavone","doi":"10.1002/ncp.11355","DOIUrl":null,"url":null,"abstract":"<p><p>Bariatric surgery remains a highly effective treatment for severe obesity and its related comorbidities, but long-term nutrition management poses significant challenges for a small minority of post-bariatric surgery patients. Patients may require specialized nutrition support, including exclusive parenteral nutrition or enteral nutrition, owing to complications such as malabsorption, perforated ulceration, or severe nutrient deficiencies. This narrative review outlines the best practices for assessing, implementing, and monitoring exclusive parenteral nutrition or enteral nutrition in postbariatric patients, emphasizing individualized care and the management of psychosocial factors such as weight stigma. The article highlights future directions in technology and personalized medicine to optimize outcomes in this complex population.</p>","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":2.2000,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Considerations in nutrition support for long-term bariatric surgery care.\",\"authors\":\"Colleen Tewksbury, Larissa Mahoney, Raquel Shover, Phyllis A Schiavone\",\"doi\":\"10.1002/ncp.11355\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Bariatric surgery remains a highly effective treatment for severe obesity and its related comorbidities, but long-term nutrition management poses significant challenges for a small minority of post-bariatric surgery patients. Patients may require specialized nutrition support, including exclusive parenteral nutrition or enteral nutrition, owing to complications such as malabsorption, perforated ulceration, or severe nutrient deficiencies. This narrative review outlines the best practices for assessing, implementing, and monitoring exclusive parenteral nutrition or enteral nutrition in postbariatric patients, emphasizing individualized care and the management of psychosocial factors such as weight stigma. The article highlights future directions in technology and personalized medicine to optimize outcomes in this complex population.</p>\",\"PeriodicalId\":19354,\"journal\":{\"name\":\"Nutrition in Clinical Practice\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2025-07-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nutrition in Clinical Practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/ncp.11355\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NUTRITION & DIETETICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nutrition in Clinical Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/ncp.11355","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
Considerations in nutrition support for long-term bariatric surgery care.
Bariatric surgery remains a highly effective treatment for severe obesity and its related comorbidities, but long-term nutrition management poses significant challenges for a small minority of post-bariatric surgery patients. Patients may require specialized nutrition support, including exclusive parenteral nutrition or enteral nutrition, owing to complications such as malabsorption, perforated ulceration, or severe nutrient deficiencies. This narrative review outlines the best practices for assessing, implementing, and monitoring exclusive parenteral nutrition or enteral nutrition in postbariatric patients, emphasizing individualized care and the management of psychosocial factors such as weight stigma. The article highlights future directions in technology and personalized medicine to optimize outcomes in this complex population.
期刊介绍:
NCP is a peer-reviewed, interdisciplinary publication that publishes articles about the scientific basis and clinical application of nutrition and nutrition support. NCP contains comprehensive reviews, clinical research, case observations, and other types of papers written by experts in the field of nutrition and health care practitioners involved in the delivery of specialized nutrition support. This journal is a member of the Committee on Publication Ethics (COPE).