代谢术后缺铁性贫血的诊疗进展

Progress in Diagnosis and Treatment of Iron Deficiency Anemia after Metabolic Surgery

代谢手术能有效治疗中、重度肥胖,显著减轻体质量、改善肥胖并发症。而贫血是代谢术后常见的营养物质缺乏并发症,以缺铁性贫血为主,与术后铁吸收障碍有关,及时口服及静脉补铁可有效防治缺铁性贫血,防止重症贫血,重症贫血需输注成分血。早期诊断、及时干预及个体化治疗可以减少缺铁性贫血的发生,避免发生中重度贫血,同时规律随访及提高患者依从性可有效预防和治疗贫血。但新型口服补铁制剂对代谢术后贫血的疗效及用药方案仍有待进一步研究。

Metabolic surgery can effectively treat moderate and severe obesity, significantly reduce body mass and improve the obesity complications. Anemia is a common nutritional complication after metabolic surgery, mostly iron defi- ciency anemia, which is related to postoperative iron absorption disorder. Timely oral and intravenous iron supplementation can effectively prevent iron deficiency anemia, prevent severe anemia, and severe anemia required intravenous blood transfu- sion treatment. Early diagnosis, timely intervention and individual treatment can reduce the incidence of iron deficiency ane- mia, avoid moderate and severe anemia, and regular follow-up and improving patient compliance can effectively prevent and treat anemia. However, the effect of new oral iron supplements on anemia after metabolic surgery and medication regimen remain to be further studied.