中国普外基础与临床杂志

中国普外基础与临床杂志

减重代谢手术及其对全身系统的影响

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目的 了解减重代谢手术并探讨其对肥胖患者全身各系统的影响。 方法 对国内外关于减重代谢手术的相关文献进行综述并予以分析。 结果 减重代谢手术不断更新演变,其经历了开腹和微创的治疗路径,减重效果突出,术后并发症发生率逐渐降低,但其手术方式的选择仍无确切的“金标准”。减重代谢手术会影响肥胖患者的全身各个系统的变化,能治愈或改善肥胖相关的疾病。 结论 随着减重代谢手术的微创化及精准化,虽然其术后并发症越来越少,但仍存在一些问题,需要多学科讨论并充分评估,关注患者的生理及心理因素,注重科学的营养管理,使减重代谢外科良性发展。

Objective To understand bariatric-metabolic surgery and explore it’s effects on all systems of body. Method The literatures relevant bariatric-metabolic surgery at home and abroad were reviewed and analyzed. Results The bariatric-metabolic surgery continued to evolve, which had undergone the changes of the open and minimally invasive therapeutic pathways, it’s effect of weight reduction was remarkable and had a low incidence of postoperative complications. But there was still no " gold standard” for selection of operation method. The bariatric-metabolic surgery affected the changes of all the systems of the body, could cure or improve the obesity related diseases. Conclusions With minimal invasion and precision of bariatric-metabolic surgery, although it’s complications is less and less, there are still some problems. We need to fully evaluate by multidisciplinary, pay attention to physiological and psychological factors, adopt scientific nutrition management, promote benign development of bariatric-metabolic surgery.

关键词: 减重代谢手术; 全身系统; 并发症

Key words: bariatric-metabolic surgery; systemic system; complication

引用本文: 朱信强, 黄海龙, 蒋学通, 孙喜太. 减重代谢手术及其对全身系统的影响. 中国普外基础与临床杂志, 2018, 25(3): 276-282. doi: 10.7507/1007-9424.201801016 复制

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