手术与多学科综合治疗肥胖症及2型糖尿病
于健春
【期刊名称】《中华胃肠外科杂志》
【年(卷),期】2012(015)011
【摘要】单纯性肥胖症及2型糖尿病的治疗应是多学科的综合治疗,包括饮食结构调整、增加身体活动量、行为纠正和药物治疗.一些病态肥胖患者还需要进行微创减肥手术治疗.尽管近年来微创减肥手术对于治疗单纯性肥胖症及2型糖尿病的疗效明显,但存在的问题是:缺乏相关科室的协作与多学科综合治疗以及患者随访率低,这是手术风险增加、疗效差和并发症增多的主要原因.因此,单纯性肥胖症和2型糖尿病及其合并症应该予以微创胃肠外科与相关多学科的综合治疗并进行长期随诊.%Obesity and type 2 diabetes mellitus should be treated using a multidisciplinary approach,including diet modification,increasing physical activity,behavior modification and drug treatment.Some morbidly obese patients even require minimally invasive gastrointestinal surgery.Although in recent years,minimally invasive gastrointestinal bariatric surgery in the treatment of obesity and type 2 diabetes mellitus appears to be effective,while problems exist including lack of relevant collaborative departments and multidisciplinary treatment and low follow-up rate,which are the main reasons for poor outcomes and complications.Therefore,the management of obesity and type 2 diabetes mellitus and its co-morbidities should be minimally invasive gastrointestinal