Lazzati A
Intercommunal Hospital Center of Créteil, Paris East Créteil University, 40, avenue de Verdun, 94000 Créteil, France.
J Visc Surg. 2023 Apr;160(2S):S3-S6. doi: 10.1016/j.jviscsurg.2022.12.004. Epub 2023 Jan 30.
Surgical interventions for obesity have quintupled in the world in 15 years (140,000 in 2003 vs. 720,000 in 2018), however growth has slowed since 2011. This progressive increase varies by country and from 2008 through 2018, 6.5 million people have undergone bariatric surgery. Growth was strongest in the Asia/Pacific region. Belgium is the country performing the most operations per number of inhabitants: (127 operations per 100,000). France is in 7th place with 72 operations per 100,000 and 70% of patients are operated in surgical services that perform more than 100 procedures per year. The sleeve gastrectomy (SG) is the most commonly performed intervention while the adjustable gastric band (AGB) has practically disappeared. Along with the intragastric balloon, novel endoluminal procedures are being evaluated. A real management policy is needed to respond to this evolution of both epidemiology and techniques.
在过去15年中，全球肥胖症的外科手术干预数量增长了四倍（2003年为14万例，2018年为72万例），不过自2011年以来增长速度有所放缓。这种逐步增长因国家而异，从2008年到2018年，有650万人接受了减肥手术。亚太地区的增长最为强劲。比利时是人均手术量最高的国家：（每10万人中有127例手术）。法国以每10万人72例手术位居第七，70%的患者在每年进行超过100例手术的外科科室接受手术。袖状胃切除术（SG）是最常见的手术干预方式，而可调节胃束带术（AGB）实际上已消失。除了胃内球囊，新型腔内手术也在评估中。需要制定切实的管理政策来应对这种流行病学和技术的演变。
