【提要】 当今，肥胖和糖尿病已成为全球公共卫生问题，代谢手术为病态肥胖和部分T2DM患者提供了有效治疗手段。该手术术后营养相关并发症发生率高，但可测、可防、可治，关键是建立常规围手术期预防、术后长期监测系统，这有助于患者维持长期减重效果，及时发现并防治手术相关并发症，改善临床结局。本文就代谢手术患者术后长期的营养管理作一综述。

　　【关键词】 病态肥胖;糖尿病;代谢手术;营养相关并发症;医学营养治疗

　　Nutrition management after metabolic surgery LI Zi-jian，CHEN Wei.Department of Parenteral and Enteral Nutrition，Peking Union Medical College Hospital，Beijing 100032，China

　　Corresponding author：CHEN Wei，E-mail：txchenwei@sina.com

　　【Summary】 Nowadays，obesity and diabetes mellitus have become an important worldwide public health problem. Bariatric surgery is an effective treatment method of morbid obesity and type 2 diabetes mellitus (T2DM).Although nutrition-related complications after surgery is relatively common，these complications can be detected and prevented. The key is to establish a routine perioperative prophylaxis and postoperative long-term monitoring system. Routine metabolic and nutritional monitoring is recommended after all bariatric surgical procedures，which can help patients maintain long-term weight loss，timely detect and treat surgery-related complications and improve clinical outcomes. In the present mini review，the perioperative and postoperative nutrition management was introduced.

　　【Key words】 Obese;Diabetes Mellitus;Bariatric surgery;Nutrition-related complication;Medical nutrition therapy