NHÂN MỘT TRƯỜNG HỢP PHẪU THUẬT ĐIỀU TRỊ BÉO PHÌ: CAN THIỆP DINH DƯỠNG ĐỂ ĐẠT MỤC TIÊU PHỤC HỒI HẬU PHẪU VÀ KIỂM SOÁT CÂN NẶNG

Abstract

Obesity is a complex condition, and while sleeve gastrectomy (SG) is an effective surgical solution, there is a risk of weight regain. This report presents a successful case of a multimodal nutritional intervention designed to achieve postoperative recovery and sustainable weight management. Case presentation: A 27-year-old female patient with a BMI of 32 kg/m² underwent SG and was managed with a comprehensive nutritional plan from two weeks preoperatively to six months postoperatively. Results: At 6 months, the patient achieved a 19.5 kg weight loss (from 85 kg to 65.5 kg), equivalent to 23% total weight loss (%TWL), with her BMI reduced to 24.9 kg/m². Body composition analysis revealed a 12.2 kg reduction in fat mass, while muscle mass was well-preserved (1.1 kg loss). Early postoperative complications were well-managed, and no significant micronutrient deficiencies were detected.  A structured, staged nutritional intervention, combined with exercise and close monitoring, is a safe and effective strategy for optimizing outcomes in post-SG patients