减肥手术在糖尿病治疗中的作用。
The role of bariatric surgery in the treatment of diabetes.
作者信息
Tham Ji Chung, Howes Noah, le Roux Carel W
机构信息
General Surgery Department Royal Devon and Exeter Hospital, Exeter, UK
Upper Gastrointestinal and Bariatric Surgery Department Musgrove Park Hospital, Taunton, UK
出版信息
Ther Adv Chronic Dis. 2014 May;5(3):149-57. doi: 10.1177/2040622313513313.
Abstract
The obesity epidemic contributes to approximately 44% of the world's type 2 diabetes burden. Bariatric surgery is an effective treatment for type 2 diabetes mellitus in patients with morbid obesity as it improves glycaemia, blood pressure, lipids and inflammation. This review describes the evidence supporting the addition of bariatric surgery to the treatment algorithms used by diabetologists. We emphasize the need to view bariatric surgery as an adjuvant therapy which should not be used instead of but rather together with best medical therapy.
摘要
肥胖症流行导致全球约44%的2型糖尿病负担。减重手术是治疗病态肥胖患者2型糖尿病的有效方法，因为它能改善血糖、血压、血脂和炎症。本综述描述了支持将减重手术纳入糖尿病专家所用治疗方案的证据。我们强调需要将减重手术视为一种辅助治疗，不应替代最佳药物治疗，而应与之联合使用。
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