Director, Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, OH, USA.
Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, OH, USA.
Cleve Clin J Med. 2017 Jul;84(7 Suppl 1):S47-S56. doi: 10.3949/ccjm.84.s1.06.
The term metabolic surgery describes bariatric surgical procedures used primarily to treat type 2 diabetes and related metabolic conditions. Originally, bariatric surgery was used as an alternative weight-loss therapy for patients with severe obesity, but clinical data revealed its metabolic benefits in patients with type 2 diabetes. Metabolic surgery is more effective than lifestyle or medical management in achieving glycemic control, sustained weight loss, and reducing diabetes comorbidities. Perioperative adverse events are similar to other gastrointestinal surgeries. New guidelines for type 2 diabetes expand use of metabolic surgery to patients with a lower body mass index.
代谢手术一词描述了主要用于治疗 2 型糖尿病和相关代谢疾病的减重手术。最初，减重手术被用作严重肥胖患者的另一种减肥治疗方法，但临床数据显示其在 2 型糖尿病患者中的代谢益处。代谢手术在实现血糖控制、持续减重和减少糖尿病合并症方面比生活方式或药物治疗更有效。围手术期不良事件与其他胃肠道手术相似。2 型糖尿病新指南扩大了代谢手术的使用范围，包括身体质量指数较低的患者。
