Department of Surgery and Centre for Minimal Access Surgery, St. Joseph's Healthcare, 50 Charlton Avenue East, Rm T2141 Hamilton, Ontario L8N 4A6, Canada; Department of Health Research Methods, Evidence & Impact, Faculty of Health Sciences, McMaster University Medical Centre, 1280 Main Street West, 2C Area, Hamilton, Ontario L8S 4K1, Canada.
Department of Surgery and Centre for Minimal Access Surgery, St. Joseph's Healthcare, 50 Charlton Avenue East, Rm T2141 Hamilton, Ontario L8N 4A6, Canada.
Surg Clin North Am. 2021 Apr;101(2):239-254. doi: 10.1016/j.suc.2020.12.003.
The prevalence of noncommunicable diseases has increased dramatically in North America and throughout the world and is expected to continue increasing in coming years. Obesity has been linked to several types of cancers and is associated with increased morbidity and mortality following cancer diagnosis. Bariatric surgery has emerged as the prominent model to evaluate the effects of intentional weight loss on cancer incidence and outcomes. Current literature, comprising prospective cohort investigations, indicates site-specific reductions in cancer risk with select bariatric procedures. Future research is required to establish evidence-based indications for bariatric surgery in the context of cancer prevention.
北美洲和全球范围内的非传染性疾病患病率显著增加,预计未来几年还将继续增加。肥胖与多种癌症有关,并且与癌症诊断后发病率和死亡率的增加有关。减重手术已成为评估有意减肥对癌症发病率和结果影响的主要模式。目前的文献包括前瞻性队列研究表明,选择减重手术可使特定部位的癌症风险降低。需要进一步的研究来确定在癌症预防背景下减重手术的循证指征。