Schiesser Marc
Chirurgisches Zentrum, Klinik Hirslanden Zürich.
Ther Umsch. 2019 Sep;76(3):133-137. doi: 10.1024/0040-5930/a001074.
Metabolic surgery in patients with poorly controlled type 2 diabetes and low BMI Bariatric surgery has been established as an efficient therapy for morbid obesity. Metabolic surgery represents the operative treatment of type 2 diabetes and other metabolic disorders. Metabolic surgery does not focus on weight loss, as many mechanisms, which are responsible for the improvement of the glycemic control are independent from weight loss. There are many studies, which show the efficient effect of metabolic surgery in diabetic patients with class II obesity. Furthermore, there is growing evidence, that metabolic surgery does also work in patients with a BMI below 35 kg / m2. Multiple surgical and endocrinological associations have endorsed these facts and adopted their guidelines. In obese type 2 diabetics with a BMI below 35 kg / m2 and a poor glycemic control metabolic surgery should be considered as a therapeutic option.
2型糖尿病控制不佳且体重指数较低患者的代谢手术 减重手术已被确立为治疗病态肥胖的有效疗法。代谢手术是2型糖尿病和其他代谢紊乱的手术治疗方法。代谢手术并不侧重于减重，因为许多改善血糖控制的机制与减重无关。有许多研究表明代谢手术对II类肥胖糖尿病患者有效。此外，越来越多的证据表明，代谢手术对体重指数低于35kg/m²的患者也有效。多个外科和内分泌协会认可了这些事实并采用了相关指南。对于体重指数低于35kg/m²且血糖控制不佳的肥胖2型糖尿病患者，应考虑将代谢手术作为一种治疗选择。
