这期我们继续说一说另一类特殊人群---手术患者，的营养需求。术后恢复本就是一个消耗营养的过程，对于IBD手术患者的营养挑战也是更大了。今天，我们根据不同术式的术后状态来聊一聊这个问题。首先是回肠切除患者，这部分的患者首先面临一个普遍矛盾：日益消耗的营养状况和不能进食之间的矛盾，并且由于肠道状态特殊性，无法正常饮食的持续时间或许更长，在这段时期需要注意营养液等的维持。切除手术一般不影响您的消化过程，因此除非医生特别建议，您应该尽可能地在几周后恢复正常饮食。但认真听过之前节目的你一定知道，水盐吸收主要是在回肠，因此经历回肠切除手术常常会导致较多的水盐丢失，这类患者可能需要进行额外营养补充，这在夏天更有必要（因为流汗多、丢失多）。此外，维生素 B12等营养素也会吸收障碍，需要对应补充。回肠手术后，胆汁盐吸收下降，还可能进入大肠引起水样便，因此，您可能需要低脂饮食。——本集内容感谢周云仙，阮佳音医师供稿
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