Michael E. DeBakey Department of Surgery, Baylor College of Medicine, One Baylor Plaza, MS: BCM 390, Houston, TX, 77030, USA.
Curr Diab Rep. 2018 Sep 26;18(11):113. doi: 10.1007/s11892-018-1094-1.
Type 2 diabetes mellitus (T2DM) is increasing in prevalence and associated with numerous metabolic complications leading to increased mortality and costs. Metabolic surgery, or surgery to treat T2DM and obesity, is effective at achieving remission from T2DM. This review discusses the most commonly used surgical options including the adjustable gastric band, the Roux-en-Y gastric bypass, the sleeve gastrectomy, and the biliopancreatic diversion with duodenal switch and their ability to treat and prevent T2DM.
There is an increasing body of literature that justifies the inclusion of metabolic surgery into the treatment algorithm for patients with obesity and T2DM. Metabolic procedures should be performed at centers that offer comprehensive treatment of metabolic disorders and have expertise in gastrointestinal surgery. The incremental improvement in the quality and safety of metabolic surgery has significantly reduced the risk of serious post-operative complications. Metabolic surgery is a safe and effective treatment option for obese patients with T2DM.
2 型糖尿病（T2DM）的发病率不断上升，与许多代谢并发症相关，导致死亡率和医疗成本增加。代谢手术，即治疗 T2DM 和肥胖症的手术，对于 T2DM 的缓解非常有效。本文讨论了最常用的手术选择，包括可调胃束带、胃旁路术、胃袖状切除术和胆胰分流加十二指肠转位术，以及它们治疗和预防 T2DM 的能力。
越来越多的文献证明，代谢手术应该纳入肥胖和 T2DM 患者的治疗方案中。代谢手术应在提供代谢疾病综合治疗且具有胃肠道手术专业知识的中心进行。代谢手术的质量和安全性的不断提高，显著降低了严重术后并发症的风险。代谢手术是肥胖 T2DM 患者安全有效的治疗选择。
