中国医学科学院学报

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中国医学科学院学报

中国医学科学院学报 ›› 2018, Vol. 40 ›› Issue (5): 581-590.doi: 10.3881/j.issn.1000-503X.10804

• 减重综合治疗论坛 • 上一篇    下一篇

减重代谢手术的历史、现状与展望

曾子杨,孙娟,康维明()   

  1. 中国医学科学院 北京协和医学院 北京协和医院基本外科,北京 100730
  • 收稿日期:2018-08-25 出版日期:2018-10-30 发布日期:2018-11-07
  • 通讯作者: 康维明 E-mail:kangweiming@163.com

History, Recent Advancements, and Prospects in Bariatric/Metabolic Surgery

ZENG Ziyang, SUN Juan, KANG Weiming()   

  1. Department of General Surgery,PUMC Hospital,CAMS and PUMC,Beijing 100730,China
  • Received:2018-08-25 Online:2018-10-30 Published:2018-11-07
  • Contact: Weiming KANG E-mail:kangweiming@163.com

摘要:

减重代谢手术是治疗病态肥胖及其合并症最有效的方法。减重代谢手术始于20世纪50年代的空肠—回肠旁路手术,经过60余年发展,其有效性和安全性得到了不断提高。目前的主流术式有袖状胃切除术、Roux-en-Y胃旁路术、胆胰分流术/十二指肠转位术和迷你胃旁路术等,此外还有单吻合口十二指肠转位术、袖状胃—十二指肠空肠旁路术、腹腔镜胃大弯折叠术和内镜手术等新型术式。本文总结了减重代谢手术的发展历史、现状以及发展趋势。

关键词: 减重代谢手术, 手术方式, 糖尿病, 肥胖

Abstract:

Bariatric/metabolic surgery is the most effective method to treat morbid obesity and its complications. Tracing its origin back to jejunoileal bypass in 1950s, bariatric/metabolic surgery has been continuously improved after more than 60 years of development. At present, the mainstream surgical procedures include sleeve gastrectomy, Roux-en-Y gastric bypass, biliopancreatic diversion/duodenal switch, and mini gastric bypass. In addition, new procedures such as single-anastomosis duodenal switch, duodenal-jejunal bypass with sleeve gastrectomy, laparoscopic greater curvature plication and endoscopic surgeries have been developed. This article reviews the history, status quo, and prospects of bariatric/metabolic surgery.

Key words: bariatric/metabolic surgery, surgical procedure, diabetes mellitus, obesity

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