Gendron Jean-Philippe
Université du Québec a Montréal.
Sci Can. 2010;33(1):29-70. doi: 10.7202/1000844ar.
As obesity clearly becomes an epidemic disease, surgery has emerged as its only effective treatment. In the Western World, bariatric surgery is gaining favor, and the number of practitioners rises as rapidly as that of patients. But the recent success of an admittedly radical therapy tends to hide the fact that it faced considerable resistance in its early years, when many physicians considered the practice suspect, if not outright dangerous. In 1980, after 25 years of experimental research, and above all, after an initial attempt to introduce the practice into the clinic, obesity surgery, reducible to mainly one single procedure, the jejunoileal bypass, was widely abandoned. This general failure of a surgical technique, with the arguments that commanded it, is the subject of the present article.
随着肥胖显然成为一种流行病，手术已成为其唯一有效的治疗方法。在西方世界，减肥手术越来越受到青睐，从业者的数量与患者数量一样迅速增加。但这种公认的激进疗法最近的成功往往掩盖了一个事实，即它在早期面临着相当大的阻力，当时许多医生认为这种做法即便不是完全危险，也是值得怀疑的。1980年，经过25年的实验研究，尤其是在首次尝试将该手术引入临床之后，肥胖症手术（主要可归结为一种单一手术，即空肠回肠分流术）被广泛摒弃。本文将探讨这种手术技术连同其支持论据的全面失败。
