Bull Rasmussen Ida Kristine, Petersen Søren Sandager, Juel Jacob, Hansen Morten Rix, Andersen Niels Holmark, Pareek Manan
Ugeskr Laeger. 2018 Jun 25;180(26).
The worldwide incidence of obesity, defined as a BMI ≥ 30 kg/m2, has more than doubled during the past four decades. Bariatric/metabolic surgery provides the largest and most sustainable degree of weight loss. This review briefly summarises the emerging randomised evidence of the superiority of these procedures over conventional treatment, in achieving glycaemic control and inducing remission in patients with type 2 diabetes as well as the observational evidence suggesting improvements in the long-term risks of cardiovascular outcomes and mortality.
肥胖的全球发病率定义为体重指数(BMI)≥30kg/m²,在过去四十年中增加了一倍多。减肥/代谢手术能实现最大程度且最可持续的体重减轻。本综述简要总结了这些手术相对于传统治疗在实现血糖控制和诱导2型糖尿病患者病情缓解方面优越性的新随机证据,以及表明心血管结局和死亡率长期风险有所改善的观察性证据。