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减重手术在2型糖尿病治疗中的作用。

The role of bariatric surgery in the treatment of type 2 diabetes mellitus.

作者信息

Leong W B, Taheri S

出版信息

J R Coll Physicians Edinb. 2012;42(3):194-8. doi: 10.4997/JRCPE.2012.301.

DOI:10.4997/JRCPE.2012.301
PMID:22953310
Abstract

Medical treatments for patients with type 2 diabetes mellitus and class II and above obesity (body mass index greater than 35 kg/m2) are currently limited to treatment of diabetes and prevention of its vascular complications. Bariatric surgery is by far the most effective treatment not only for weight loss, but also for improvement or remission of diabetes. This editorial examines the current evidence for the impact of bariatric surgery on weight loss and type 2 diabetes.

摘要

对于2型糖尿病合并II级及以上肥胖(体重指数大于35kg/m²)的患者,目前的医学治疗仅限于糖尿病治疗及其血管并发症的预防。到目前为止,减肥手术不仅是最有效的减肥方法,也是改善或缓解糖尿病的最有效方法。这篇社论探讨了减肥手术对体重减轻和2型糖尿病影响的现有证据。

相似文献

1
The role of bariatric surgery in the treatment of type 2 diabetes mellitus.减重手术在2型糖尿病治疗中的作用。
J R Coll Physicians Edinb. 2012;42(3):194-8. doi: 10.4997/JRCPE.2012.301.
2
[Bariatric surgery as therapy for diabetes mellitus type 2].[减重手术作为2型糖尿病的治疗方法]
Ned Tijdschr Geneeskd. 2009 May 9;153(19):920-5.
3
The impact of obesity on diabetes mellitus and the role of bariatric surgery.肥胖对糖尿病的影响和减重手术的作用。
Maturitas. 2011 Jun;69(2):137-40. doi: 10.1016/j.maturitas.2011.03.020. Epub 2011 Apr 14.
4
Association of bariatric surgery with long-term remission of type 2 diabetes and with microvascular and macrovascular complications.减重手术与 2 型糖尿病的长期缓解及微血管和大血管并发症的关系。
JAMA. 2014 Jun 11;311(22):2297-304. doi: 10.1001/jama.2014.5988.
5
Bariatric surgery for type 2 diabetes: to whom and when?2型糖尿病的减肥手术:适合谁以及何时进行?
Minerva Endocrinol. 2013 Mar;38(1):47-58.
6
The success of bariatric surgery as treatment of type 2 diabetes should be a call to revitalize anti-obesity drug discovery and development.减肥手术作为2型糖尿病的治疗方法取得成功,应该促使人们重振抗肥胖药物的研发。
Curr Opin Investig Drugs. 2008 Apr;9(4):355-6.
7
Bariatric surgery: a cure for diabetes?减重手术:糖尿病的治愈方法?
Curr Opin Clin Nutr Metab Care. 2011 Jul;14(4):396-401. doi: 10.1097/MCO.0b013e3283468e50.
8
Bariatric surgery for diabetes management.用于糖尿病管理的减肥手术。
Curr Opin Endocrinol Diabetes Obes. 2009 Apr;16(2):119-24. doi: 10.1097/MED.0b013e32832912e7.
9
Weight loss surgery: can it help control diabetes? It's promising, but there's no straightforward 'yes' or 'no' answer--yet.减肥手术:它能帮助控制糖尿病吗?这很有前景,但目前还没有简单的“是”或“否”的答案。
Johns Hopkins Med Lett Health After 50. 2014 Jan;25(13):1-2.
10
Bariatric surgery is linked to more diabetes remission than lifestyle intervention alone, study finds.研究发现,减肥手术比单纯的生活方式干预更能促使糖尿病缓解。
BMJ. 2015 Jul 1;351:h3603. doi: 10.1136/bmj.h3603.

引用本文的文献

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Clinical and metabolic characteristics of the Diabetes Intervention Accentuating Diet and Enhancing Metabolism (DIADEM-I) randomised clinical trial cohort.糖尿病干预强化饮食和代谢(DIADEM-I)随机临床试验队列的临床和代谢特征。
BMJ Open. 2020 Dec 7;10(12):e041386. doi: 10.1136/bmjopen-2020-041386.
2
Diabetic Control Outcomes Amongst Patients Who Had Bariatric Surgery in a District General Hospital.一家区综合医院中接受减肥手术患者的糖尿病控制结果
Cureus. 2019 Sep 13;11(9):e5651. doi: 10.7759/cureus.5651.
3
Description and preliminary results from a structured specialist behavioural weight management group intervention: Specialist Lifestyle Management (SLiM) programme.
结构化专家行为体重管理小组干预措施(即专家生活方式管理(SLiM)计划)的描述及初步结果
BMJ Open. 2015 Apr 8;5(4):e007217. doi: 10.1136/bmjopen-2014-007217.
4
The Impact of Bariatric Surgery on Diabetic Retinopathy: A Systematic Review and Meta-Analysis.减肥手术对糖尿病视网膜病变的影响:一项系统评价与荟萃分析。
Obes Surg. 2015 Sep;25(9):1604-9. doi: 10.1007/s11695-014-1539-9.