Bariatric Surgery Overview of Procedures and Outcomes
Bariatric Surgery Overview of Procedures and Outcomes
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DOI：
10.1016/j.ecl.2016.04.013
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发表时间：
2016-09-01
影响因子：
4.5
通讯作者：
Morton, John Magana
中科院分区：
文献类型：
--
作者：
Azagury, Dan E.;Morton, John Magana
减肥手术是最有效和最持久的减肥疗法。它的安全性在过去十年中提高了十倍以上。随着腹腔镜检查的出现，在经认可的中心，死亡率现在低于1/1400例。胃旁路术在7年内将糖尿病相关死亡率降低了92%，并且在涵盖> 10，000名患者的观察性研究和多项随机对照试验中证明了长期缓解。减肥手术对糖尿病患者的益处是如此之大，因此所有BMI > 35 kg/m2的2型糖尿病患者都应考虑进行减肥手术。
Bariatric surgery is the most efficient and long-lasting weight loss therapy available. Its safety has improved more than tenfold over the last decade. With the advent of laparoscopy, mortality rates of are now under 1 per 1400 cases in accredited centers. Gastric bypass reduces diabetes related mortality by 92% over 7 years and long lasting remission has been demonstrated in observational studies covering >10,000 patients and multiple randomized control trials. The benefit of bariatric surgery on diabetes is so substantial that these procedures should be considered in all type 2 diabetic patients with a BMI > 35 kg/m(2).