减重手术治疗代谢性疾病

减重手术兴起于20世纪50年代，90年代后肥胖患者人数的迅猛增加和腹腔镜手术的引入，减重手术在全世界逐渐流行。目前减重手术方式主要有可调节胃束带减容术、胃袖状切除术、胃旁路术、十二指肠转流术等。各种减重手术各有优缺点，涉及减重效果、手术死亡率和术后并发症发生率等，应重视减重手术对高血糖、高血脂、高胆固醇血症等代谢紊乱疾病的疗效，提倡个体化治疗，多学科协作综合治疗。

Bariatric surgery for the treatment of metabolic diseases

Bariatric surgery began in 1950s. The rapid increase of obese patients and development of laparoscopic tech- niques lead to popularity of bariatric surgery all over the world in 1990s. Current mainstream of bariatric surgeries include laparo- scopic adjustable gastric banding, sleeve gastrectomy, Roux-en- Y gastric bypass and biliopancreatie diversion. In this review, the efficacy of different surgical procedures was compared in the aspects of metabolic disorder remission and incidence of opera- tion complications and mortality. Efficacy of bariatric surgery on the alleviation of metabolic disorders （ including hypergyeemia, hyperlipidemia, hypercholesterolemia） , individual treatment and interdisciplinary cooperation should be emphasized.