Hua Yang, Lou Yu-Xuan, Li Cong, Sun Jin-Yu, Sun Wei, Kong Xiang-Qing
Department of Cardiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210000, China.
Department of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210000, China.
Obes Res Clin Pract. 2022 Jan-Feb;16(1):1-9. doi: 10.1016/j.orcp.2021.11.004. Epub 2021 Nov 27.
Obesity has grown to become a major health problem over the past few decades. Obesity-related comorbidities, such as diabetes mellitus, hypertension, obstructive sleep apnea, and dyslipidemia, are inextricably linked with increased adverse clinical consequences and mortality. Compared with other strategies for obesity, bariatric surgery is efficient in weight loss and has been proved to exert positive effects on obesity-related risk factors. This broad improvement in risk factors has resulted in substantial remission or reductions of comorbidities and better performance on clinical outcomes, including cardiovascular diseases, cancer, and mortality. With the development of surgical procedures, the safety of bariatric surgery has been validated and the rate of peri-operative death is low all over the world. Nonetheless, surgeons ought to be careful about potential complications, such as nutrition deficiencies, psychological disorders, or new digestive tract tumors after surgery. For patients with obesity, bariatric surgery might be a precious and crucial tool to bring additional benefits including comorbidities protection and life span extension. All patients with obesity should be engaged in a union consultation group to select a suitable treatment.
在过去几十年里，肥胖已发展成为一个主要的健康问题。与肥胖相关的合并症，如糖尿病、高血压、阻塞性睡眠呼吸暂停和血脂异常，与不良临床后果和死亡率的增加有着千丝万缕的联系。与其他肥胖治疗策略相比，减肥手术在减重方面效果显著，并且已被证明对肥胖相关风险因素具有积极影响。风险因素的广泛改善已使合并症得到实质性缓解或减轻，并在包括心血管疾病、癌症和死亡率等临床结局方面表现更佳。随着手术技术的发展，减肥手术的安全性已得到验证，全球围手术期死亡率较低。尽管如此，外科医生仍应警惕潜在的并发症，如术后营养缺乏、心理障碍或新发消化道肿瘤。对于肥胖患者而言，减肥手术可能是一个宝贵且关键的工具，能带来包括保护合并症和延长寿命等额外益处。所有肥胖患者都应加入联合咨询小组以选择合适的治疗方法。
