Clinical Nutrition Research

  • 제12권3호
  • /
  • Pages.177-183
  • /
  • 2023
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  • 2287-3732(pISSN)
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  • 2287-3740(eISSN)
한국임상영양학회 (The Korean Society of Clinical Nutrition)
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Nutritional Intervention for a Patient With Sleeve Gastrectomy

  • Seonhye Park (Nutrition Care Services, Seoul National University Bundang Hospital) ;
  • Sohye Kim (Nutrition Care Services, Seoul National University Bundang Hospital) ;
  • Soyoun Kim (Nutrition Care Services, Seoul National University Bundang Hospital) ;
  • Ah-Reum Shin (Nutrition Care Services, Seoul National University Bundang Hospital) ;
  • Youngmi Park (Nutrition Care Services, Seoul National University Bundang Hospital)
  • 투고 : 2023.04.25
  • 심사 : 2023.07.14
  • 발행 : 2023.07.31
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초록

Bariatric surgery is the most effective treatment for sustained weight reduction, and it can result in substantial improvements in the severity of type 2 diabetes, metabolic syndrome, nonalcoholic fatty liver disease, and quality of life. However, sleeve gastrectomy, a weight loss surgery that removes two-thirds of the stomach, reduces appetite and nutrient absorption, impairing digestion and the absorption of nutrients like iron, vitamin B12, and protein-bound nutrients. This case study aims to demonstrate that patients undergoing sleeve gastrectomy require long-term and periodic monitoring of biochemical data, weight changes, and caloric and protein intake by a professional nutritionist to prevent malnutrition and nutritional deficiencies. In this case study, a 48-year-old woman was diagnosed with morbid obesity, hypertension, sleep apnea syndrome, and chronic gastritis. At initial evaluation, she was 160 cm tall and weighed 89 kg, with a body mass index of 34.8 kg/m2. At 1 postoperative year, she consumed 650 kcal and 25 g of protein per day, the percentage of excess weight loss was 141.1%, and body mass index was 21 kg/m2. Compared to preoperative levels, calcium and folic acid levels did not decrease after 1 postoperative year, but hemoglobin, ferritin, and vitamin B12 levels decreased. In conclusion, when patients experience rapid weight loss after sleeve gastrectomy, follow-up should be frequent and long. Dietary education should be conducted according to digestive symptoms, and oral nutritional supplements, including vitamins and minerals.

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참고문헌

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