Li G B, Wang Z J, Han J G
Department of General Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China.
Zhonghua Wai Ke Za Zhi. 2022 Feb 1;60(2):188-192. doi: 10.3760/cma.j.cn112139-20211118-00540.
Bariatric-metabolic surgery (BMS) has the potential of decreasing body weight and improving obesity-related metabolic syndrome by restricting food intake and malabsorption. Laparoscopic sleeve gastrectomy, Roux-en-Y gastric bypass, adjustable gastric banding, biliopancreatic diversion with duodenal switch are four major BMS procedures. Sleeve plus surgery, one-anastomosis gastric bypass, intragastric balloon and endoscopic surgery are also arising and gaining popularity due to their specific efficacy. Currently, BMS is now experiencing an era with deeply integrated interdisciplinarity, optimizing and innovating of surgeries and well-illustrated clinical efficacy, as a result, more obese patients would benefit from BMS.
减重代谢手术（BMS）通过限制食物摄入和造成营养吸收不良，具有减轻体重和改善肥胖相关代谢综合征的潜力。腹腔镜袖状胃切除术、Roux-en-Y胃旁路术、可调节胃束带术、胆胰转流十二指肠转位术是四种主要的减重代谢手术方式。袖状胃加其他手术、单吻合口胃旁路术、胃内球囊置入术和内镜手术也因其独特疗效而兴起并受到欢迎。目前，减重代谢手术正处于一个多学科深度融合、手术不断优化创新且临床疗效显著的时代，因此，越来越多的肥胖患者将从减重代谢手术中获益。
