摘要
随着国民经济和生活水平的提高,肥胖及相关代谢疾病的患病率逐年升高,传统饮食控制、体育锻炼和药物治疗等方法对其的治疗效果并不理想。减重代谢手术不仅旨在减轻体质量,同时可改善或解决多种代谢合并症,例如2型糖尿病、高血压病和睡眠呼吸暂停综合征以及高脂血症等,可提高患者的生活质量。随着减重代谢手术的不断发展,其术式也在更新迭代,目前主流术式中,超过50%是腹腔镜袖状胃切除术(LSG)。应用LSG要注重精准的手术操作及适应证的掌握,来避免和减少不良反应及并发症的发生,以达到减重代谢手术效果的最大化。同时,规范的术后管理,多学科团队(MDT)及院内数据库建设,出院后的饮食营养及运动指导、规律随访复查仍是减重效果的重要保障。
With the improvement of the national economy and living standards,the prevalence of obesity and related metabolic diseases is increasing yearly.The treatment effect of traditional diet control,physical exercise,and drug therapy are not ideal.Metabolic and bariatric surgery is not only aimed at weight loss,but also improves or resolves a variety of metabolic comorbidities,such as type 2 diabetes,hypertension,sleep apnea syndrome,and hyperlipidemia,enhancing the quality of life of patients.Surgical methods are also updated and iterated with the continuous development of metabolic surgery for weight loss.At present,more than 50%of the mainstream procedures are laparoscopic sleeve gastrectomy(LSG).The application of LSG should focus on precise surgical operations and indications to avoid or reduce adverse reactions and complications,so as to maximize the effect of bariatric surgery.At the same time,standardized postoperative management,multidisciplinary team(MDT)and in-hospital database construction,dietary nutrition and exercise guidance after discharge,and regular follow-up review are still important guarantees for the weight loss effect.
作者
高尚
刘金钢
Gao Shang;Liu Jingang(Department of General Surgery,Qilu Hospital(Qingdao),Cheeloo College of Medicine,Shandong University,Qingdao 266035,China;Department of General Surgery,the Fourth Affiliated Hospital of China Medical University,Shenyang 110032,China)
出处
《中华胃肠外科杂志》
CSCD
北大核心
2022年第10期881-885,共5页
Chinese Journal of Gastrointestinal Surgery
基金
辽宁省民生科技计划(2021JH2/10300012)
沈阳市中青年科技创新人才支持计划(RC200607)。
关键词
袖状胃切除术
肥胖症
减重手术
精准
Sleeve gastrectomy
Obesity
Bariatric surgery
Precision
