Terapevticheskii arkhivTerapevticheskii arkhivТерапевтический архив0040-36602309-5342LLC Obyedinennaya Redaktsiya31381Editorial articleПередовая статьяReview ArticleImpact of bariatric surgery on the absorption of nutrients in patients with obesityВлияние бариатрических операций на всасывание пищевых веществ у больных ожирениемBodunovaN AБодуноваН АSabel'nikovaE AСабельниковаЕ Аsabelnikova_e_a@mail.ruParfenovA IПарфеновА Иasfold@mail.ruЦентральный научно-исследовательский институт гастроэнтерологии Департамента здравоохранения Москвы151020138510VOL 85, NO10 (2013)ТОМ 85, №10 (2013)9810410042020Copyright ©; 2013, Consilium MedicumCopyright ©; 2013, ООО "Консилиум Медикум"2013Consilium MedicumООО "Консилиум Медикум"https://creativecommons.org/licenses/by-nc-sa/4.0https://ter-arkhiv.ru/0040-3660/article/view/31381

The review considers disturbed metabolism of vitamins, minerals, and protein in patients following bariatric surgery. The positive effect of the surgery is proven; however, postresection syndromes that may further occur determine not only a patient follow-up, but also timely therapeutic interventions to prevent hypovitaminoses, anemia, and mineral metabolic disturbances. There are conflicting data on the incidence of these abnormalities. No guidelines for their treatment and prevention have been elaborated.

Аннотация. В обзоре рассмотрены вопросы нарушений обмена витаминов, минеральных веществ и белка у больных, перенесших бариатрические операции. Положительный эффект хирургического вмешательства доказан, однако пострезекционные синдромы, возникающие в последующем, обусловливают не только наблюдение больного, но и своевременные терапевтические вмешательства с целью предотвращения гиповитаминозов, анемии и нарушений минерального обмена. Имеются противоречивые данные о частоте возникновения этих нарушений. Не разработаны рекомендации по их лечению и профилактике.

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