Changes in Body Composition of Patients Undergoing Metabolic and Bariatric Surgery before and after Surgery under Case Management Mode
Objective To explore the changes of body composition of patients with metabolic syndrome before and after metabolic and bariatric surgery under the case management mode.Methods The patients who were hospitalized for metabolic and bariatric surgery from November 2021 to May 2022 in the department of gastrointestinal surgery in General Hospital of Ningxia Medical University were enrolled.After surgery,a case management model independently developed by the department was adopted to provide postoperative care and follow-up for patients,and the body composition of patients before and after surgery were tested to observe the changes in some body parameters of patients at different stages.Results Two months after the systematic case management of 66 patients with metabolic and bariatric surgery,compared with the preoperative and postoperative body composition,the skeletal muscles and muscle content of the patients were significantly reduced,and some nutrients were reduced within a reasonable range.The neck circumference,chest circumference,abdominal circumference,and hip circumference were significantly reduced,and the swelling index of the trunk and lower limbs was reduced(P all＜0.05).However,there was no significant change in the swelling parameters of the left and right upper limbs of the patients(P＞0.05).Conclusion Applying the case management model to the care of patients after weight-loss metabolism surgery can help promote a reduction in body circumference and swelling index in obese patients,so it can be used as an auxiliary care for patients after weight-loss metabolism surgery.
case managementmetabolic and bariatric surgerybody composition
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