Service de chirurgie générale et endocrinienne, hôpital C.-Huriez, CHRU de Lille, 59045 Lille cedex, France.
J Visc Surg. 2013 Apr;150(2):85-95. doi: 10.1016/j.jviscsurg.2013.03.011. Epub 2013 Apr 23.
Dietary management of obesity, based on modification of eating patterns, increased physical activity and psychological and social support has provided inconsistent and disappointing results. Surgery is an invasive and often irreversible alternative that offers substantial and durable weight loss at the price of non-negligible morbidity and mortality. Three procedures account for almost all bariatric surgical procedures in France: adjustable gastric banding (AGB), vertical or sleeve gastrectomy (SG), and gastric bypass (GBP). The goal of this review is to help the surgeon make the best choice among these procedures, depending on his surgical convictions, abilities, and habits. Evidence-based data were extracted from the literature using the major data-base resources (Medline, Web of knowledge, Scopus); as well the most recent recommendations from relevant learned societies and health care organisms were analyzed. In 2010, 26,558 bariatric operations were performed in France; these were more or less equally distributed between AGB, SG and GBP. In 2011, the proportion of SG increased enormously and represented 43.9% of all bariatric procedures. In terms of weight loss and perioperative morbidity/mortality, SG tends to stand midway between AGB and GBP.
肥胖的饮食管理，基于饮食模式的改变、增加体力活动以及心理和社会支持，提供了不一致和令人失望的结果。手术是一种侵入性的，往往是不可逆转的替代方法，它以不可忽视的发病率和死亡率为代价，提供了大量和持久的体重减轻。三种手术程序几乎占法国所有减肥手术的全部：可调胃束带（AGB）、垂直或袖状胃切除术（SG）和胃旁路（GBP）。本综述的目的是帮助外科医生根据自己的手术信念、能力和习惯，在这些手术程序中做出最佳选择。使用主要数据库资源（Medline、Web of knowledge、Scopus）从文献中提取循证数据；并分析了相关学术协会和医疗机构的最新建议。2010 年，法国进行了 26558 例减肥手术；AGB、SG 和 GBP 的分布或多或少相等。2011 年，SG 的比例大幅增加，占所有减肥手术的 43.9%。在体重减轻和围手术期发病率/死亡率方面，SG 倾向于介于 AGB 和 GBP 之间。
