Morales-Maza J, Rodriguez-Quintero J H, Sanchez-Morales G E, Sanchez Garcia-Ramos E, Romero-Velez G, Aguilar-Frasco J L, Pimienta-Ibarra A S, Alvarez-Bautista F E, Leon P, Hernandez-Acevedo J D, Del Angel-Millan G, Sierra M
G Chir. 2020 Jan-Feb;41(1):5-17.
Bariatric surgery was introduced in 1953, but during the last 20 years its popularity has increased after the development of significant Romaevidenced based breakthroughs in the field. Currently, approximately 150 long-term randomized clinical trials and 40 meta-analyses support and give credibility to the surgical approaches for the treatment of obesity and its related metabolic disturbances. Bariatric surgery has demonstrated improved outcomes compared to medical treatment, conduct therapy, and endoscopic procedures. Roux-en-Y gastrojejunostomy (RYGB) and Sleeve gastrectomy (SG) are the surgical procedures most frequently performed, due to their satisfactory results and security profile. There is sufficient evidence in medical literature to perform these procedures when indicated; however, there are still several controversies regarding technical aspects that need to be further explored.
减重手术于1953年被引入，但在过去20年里，随着该领域基于重要证据的重大突破的出现，其受欢迎程度有所提高。目前，大约150项长期随机临床试验和40项荟萃分析支持并证实了治疗肥胖及其相关代谢紊乱的手术方法。与药物治疗、行为疗法和内镜手术相比，减重手术已显示出更好的效果。胃旁路术（RYGB）和袖状胃切除术（SG）是最常施行的手术方式，因其效果令人满意且安全性良好。医学文献中有足够的证据表明在有指征时可施行这些手术；然而，在技术方面仍存在一些争议，需要进一步探索。
