Division of Metabolic, Endocrine and Minimally Invasive Surgery, Department of Surgery, Mount Sinai School of Medicine, 5E, 98th ST., NewYork, NY 10029, USA.
Surg Endosc. 2012 Apr;26(4):893-903. doi: 10.1007/s00464-011-1976-7. Epub 2011 Oct 13.
Bariatric surgery is currently the most effective treatment for diabetes associated with morbid obesity.
A Pubmed search was made for all articles on bariatric surgery and diabetes from 2009 to present (March 2011) in order to identify the recent advances in this field. Herein we review the recent data available on the long-term effects of bariatric surgery on diabetes. We also review the efficacy of gastrointestinal surgery done for diabetic patients having body mass index (BMI) <35 kg/m(2) and also the effect of novel bariatric procedures on diabetes associated with obesity. Finally, the efficacy of bariatric surgery in adolescent diabetes and the recent epidemiological trends of type 2 diabetes are also dealt with briefly.
RYGB and biliopancreatic diversion (BPD) are effective surgical options for diabetes in the long term (>5 yrs). The efficacy of sleeve gastrectomy on diabetes in the long term is not yet known. Gastrointestinal procedures for non morbidly obese and non obese patients have shown great promise as surgical optional for diabetes, though their efficacy and safety in the long term are unknown. Novel endoscopic techniques and TANTALUS have shown some promise in resolving diabetes in obese patients. Bariatric surgery is very effective is resolving adolescent diabetes.
减重手术是目前治疗病态肥胖相关糖尿病的最有效方法。
检索 2009 年至 2011 年 3 月（目前）期间发表的所有关于减重手术与糖尿病的文献，以明确该领域的最新进展。本文回顾了关于减重手术对糖尿病的长期影响的最新数据。我们还回顾了胃肠道手术对 BMI<35kg/m²的糖尿病患者的疗效，以及新型减重手术对肥胖相关糖尿病的影响。最后，本文还简要讨论了减重手术对青少年糖尿病的疗效和 2 型糖尿病的最新流行病学趋势。
RYGB 和胆胰分流术（BPD）是治疗糖尿病的有效手术选择（>5 年）。袖状胃切除术治疗糖尿病的长期疗效尚不清楚。胃肠道手术治疗非病态肥胖和非肥胖患者的糖尿病显示出巨大的潜力，但其长期疗效和安全性尚不清楚。新型内镜技术和 TANTALUS 在解决肥胖患者的糖尿病方面显示出一定的前景。减重手术对青少年糖尿病的疗效非常显著。
