Jansen Peter L M
Academisch Medisch Centrum, afd. Maag-, Darm- en Leverziekten, Amsterdam.
Ned Tijdschr Geneeskd. 2013;156(0):A4754.
Bariatric surgery is becoming popular as treatment of morbid obesity. With this popularity there is a danger that it surpasses or even replaces conservative medical therapy. Instead, bariatric surgery should be part of a systematic approach in the treatment of obesity. There is a new Dutch practice guideline on the treatment of morbid obesity in which conservative treatment is hardly covered. There is little evidence of the highest level to support the recommendations in this guideline.
减肥手术正日益成为治疗病态肥胖的常用方法。随着其日益普及，存在一种风险，即它可能会超越甚至取代保守的药物治疗。相反，减肥手术应成为肥胖治疗系统方法的一部分。荷兰有一项关于病态肥胖治疗的新实践指南，其中几乎未涉及保守治疗。几乎没有最高水平的证据来支持该指南中的建议。
