减重代谢手术病人围术期营养管理的证据总结

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Evidence summary of perioperative nutritional management for patients undergoing metabolic and bariatric surgery

WANG Zhi WANG Fang FAN Bingxin LIN Lunwei HU Feifei WANG Yongni HUNAG Shini MING Yao

1.Chengdu University of Traditional Chinese Medicine，Sichuan 610032 China；2.Guang'an Traditional Chinese Medicine Hospital

Corresponding Author  WANG Fang，E-mail：1697070757@qq.com

Abstract Objective：To summarize the relevant evidence of perioperative nutritional management for patients undergoing metabolic and bariatric surgery and to provide an evidence-based basis for clinical application.Methods：All relevant evidence including guidelines，recommended practices，clinical decision-making，systematic reviews，evidence summaries，expert consensus，and randomized controlled trials（RCTs） were retrieved from UpToDate，BMJ Best Practices，Joanna Briggs Institute of Australia，International Federation of Obesity and Metabolic Diseases，PubMed，and CNKI.The search period was from April 19，2014，to April 19，2024.Multiple researchers independently evaluated the quality of the literature，extracted，and summarized the evidence of the included literature.Results：A total of 21 articles were included，including 3 guidelines，5 clinical decision-making，4 systematic reviews，1 RCT，and 8 expert consensuses.A total of 35 pieces of evidence were summarized from 7 aspects：preoperative dietary management，postoperative dietary management，nutritional monitoring，macronutrient management，micronutrient management，nutrition of complications，and nutritional follow-up after discharge.Conclusions：When the summarized relevant evidence of perioperative nutritional management of patients undergoing  metabolic and bariatric surgery is applied and transformed.Medical staff should consider the actual situation of the patients and formulate personalized treatment plans to help them to improve the clinical outcomes of patients undergoing bariatric metabolic surgery.

Keywords  metabolic and bariatric surgery; perioperative period; obesity; nutrition; evidence-based nursing; evidence summary

摘要  目的：总结减重代谢手术病人围术期营养管理的相关证据，为临床应用提供循证依据。（剩余23101字）