Zur Wiesch Clarissa Schulze, Lautenbach Anne, Aberle Jens
Dtsch Med Wochenschr. 2016 Sep;141(20):1437-1440. doi: 10.1055/s-0042-112081. Epub 2016 Oct 4.
Indication for bariatric or metabolic surgery depends primarily on body mass index. Recent study results however suggest, that other markers are more reliable predictors of metabolic success. A revision of indication criteria is therefore necessary especially for surgical therapy of type 2 diabetes mellitus. Postoperative management should include screening for postbariatric hypoglycemia and bone density. Furthermore psychologic surveillance is recommended.
肥胖症或代谢手术的适应症主要取决于体重指数。然而，最近的研究结果表明，其他指标是代谢成功更可靠的预测因素。因此，尤其对于2型糖尿病的手术治疗，有必要修订适应症标准。术后管理应包括筛查减肥术后低血糖症和骨密度。此外，建议进行心理监测。
