摘要
减重手术是治疗肥胖症最有效并可明显减重的治疗选择之一。与腹腔镜下可调节胃束带术相比,腹腔镜下Roux-en-Y胃旁路术具有更多的获益及手术风险。减重手术后可出现多种胃肠激素水平的变化,能部分解释减重手术后的体重下降及糖尿病缓解机制。减重手术后的治疗管理应是多学科综合治疗,包括调整饮食结构、增加身体活动量、纠正行为和药物治疗。
Bariatric surgery is one of the most effective treatment options for obesity.Compared with laparoscopic adjustable gastric banding（LAGB）,laparoscopic Roux-en-Y gastric bypass（LRYGB） surgery has demonstrated more benefits and surgical risks.Bariatric surgery can result in the decreases in multiple gastrointestinal hormone levels,which can partially explain the mechanisms behind weight loss and resolution of diabetes after bariatric surgery.The management after bariatric surgery should be multidisciplinary and comprehensive,including dietary adjustment,physical exercise,behavioral intervention,and drug therapy.
出处
《中国医学科学院学报》
CAS
CSCD
北大核心
2011年第3期219-223,共5页
Acta Academiae Medicinae Sinicae
基金
卫生部内分泌重点实验室课题(2009301)
北京协和医院青年基金(2009123)~~
关键词
减重手术
多学科治疗
肥胖症
bariatric surgery
multidisciplinary treatment
obesity
