Metabolic Surgery in Type 2 Diabetes: Roux-en-Y Gastric Bypass or Sleeve Gastrectomy as Procedure of Choice?
Metabolic Surgery in Type 2 Diabetes: Roux-en-Y Gastric Bypass or Sleeve Gastrectomy as Procedure of Choice?
复制标题
2 型糖尿病的代谢手术：Roux-en-Y 胃绕道手术还是袖状胃切除术作为手术选择？
DOI：
10.1007/s11883-015-0538-1
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发表时间：
2015
影响因子：
5.8
通讯作者：
A. Lacy
中科院分区：
文献类型：
--
作者：
J. Vidal;Amanda Jiménez;A. Hollanda;L. Flores;A. Lacy
近年来，袖状胃切除术（SG）的相对使用明显增加。然而，在2型糖尿病（T2 DM）受试者中，这种减肥手术（BS）程序与仍被认为是“金标准”的Roux-en-Y胃旁路术（GBP）的影响的长期头对头比较令人惊讶地低。本综述手稿的目的是评价GBP和SG作为T2 DM受试者长期治疗工具的潜力的现有证据。我们认为，遗憾的是，当前文献综述无法正确回答两种手术中哪一种作为T2 DM受试者的首选手术更好。可以说，GBP优于SG的明显优势可以通过在SG中添加一种促代谢成分来克服，这种方法仅限于那些未能实现预期代谢结果的患者。尽管如此，这是否可以作为选择SG作为T2 DM患者主要策略的基础还值得怀疑。
In recent years, a marked increase in the relative use of sleeve gastrectomy (SG) has occurred. However, long-term head-to-head comparison of the impact of this bariatric surgery (BS) procedure with the still considered “gold standard” Roux-en-Y gastric bypass (GBP) in subjects with type 2 diabetes mellitus (T2DM) is surprisingly low. The aim of this review manuscript is to appraise current evidence on the potential of GBP and SG as long-term therapeutic tool for subjects with T2DM. In our opinion, unfortunately, review of current literature does not allow to properly answer which of the two surgeries would be better as procedure of choice for subjects with T2DM. Arguably, the apparent superiority of GBP over SG could be overcome by the addition of a malabsortive component to SG in a staged approach restricted to those failing to achieve the desired metabolic outcomes. Nonetheless, whether this serves as basis for the election of SG as primary strategy for those with T2DM is questionable.
影响因子：
120.7
作者：
Ikramuddin, Sayeed;Korner, Judith;Lee, Wei-Jei;Connett, John E.;Inabnet, William B., III;Billington, Charles J.;Thomas, Avis J.;Leslie, Daniel B.;Chong, Keong;Jeffery, Robert W.;Ahmed, Leaque;Vella, Adrian;Chuang, Lee-Ming;Bessler, Marc;Sarr, Michael G.;Swain, James M.;Laqua, Patricia;Jensen, Michael D.;Bantle, John P.
通讯作者：
Bantle, John P.