Jarlborg Patrick, Megevand Jean-Marie, Pralong François, Heinicke Jean-Marc
Hôpital de la Tour, avenue J.-D. Maillard, 1217 Meyrin.
Rev Med Suisse. 2019 Mar 20;15(643):618-621.
Considering the growing epidemic of obesity worldwide, bariatric surgery is considered the most effective measure for significant weight loss and coping with comorbidities associated with obesity once it is established. Indications for bariatric surgery in Switzerland are clearly defined, but the type of intervention is often debated. As the gastric band gradually disappears, the number of sleeve gastrectomy (SG) is constantly increasing and has surpassed the traditional gastric bypass worldwide, because of the theoretically safer profile of this intervention. The purpose of this article is to summarize the most common types of bariatric surgery, their advantages and disadvantages, and their indication according to the patient's profile.
鉴于全球肥胖症流行趋势日益加剧，减重手术一旦确定为有效措施，便被视为实现显著体重减轻及应对肥胖相关合并症的最有效方法。瑞士对减重手术的适应症有明确规定，但手术干预类型常常引发争议。随着胃束带术逐渐不再使用，袖状胃切除术（SG）的实施数量持续增加，且在全球范围内已超过传统的胃旁路手术，因为该手术从理论上来说安全性更高。本文旨在总结减重手术最常见的类型、优缺点以及根据患者情况的适应症。
