Zeng Zi Yang, Sun Juan, Kang Wei Ming
Department of General Surgery,PUMC Hospital,CAMS and PUMC,Beijing 100730,China.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2018 Oct 30;40(5):581-590. doi: 10.3881/j.issn.1000-503X.10804.
Bariatric/metabolic surgery is the most effective method to treat morbid obesity and its complications. Tracing its origin back to jejunoileal bypass in 1950s, bariatric/metabolic surgery has been continuously improved after more than 60 years of development. At present, the mainstream surgical procedures include sleeve gastrectomy, Roux-en-Y gastric bypass, biliopancreatic diversion/duodenal switch, and mini gastric bypass. In addition, new procedures such as single-anastomosis duodenal switch, duodenal-jejunal bypass with sleeve gastrectomy, laparoscopic greater curvature plication and endoscopic surgeries have been developed. This article reviews the history, status quo, and prospects of bariatric/metabolic surgery.
减重/代谢手术是治疗病态肥胖及其并发症最有效的方法。减重/代谢手术起源于20世纪50年代的空肠回肠分流术,经过60多年的发展不断改进。目前,主流的手术方式包括袖状胃切除术、Roux-en-Y胃旁路术、胆胰分流/十二指肠转位术和迷你胃旁路术。此外,还开发了如单吻合口十二指肠转位术、袖状胃切除术联合十二指肠空肠旁路术、腹腔镜大弯折叠术和内镜手术等新术式。本文综述了减重/代谢手术的历史、现状和前景。