胃肠减重手术治疗2型糖尿病的前景和争议

Bariatric surgery for type 2 diabetes mellitus:Prospect and controversy

肥胖是T2DM的一个主要的独立危险因素,随着肥胖人群的增加,T2DM的发病率也随之增加。肥胖的T2DM除了内科治疗之外,胃肠减重的外科手术治疗也取得了良好的效果,外科手术治疗改善T2DM的机制也得到了广泛的研究,但手术所带来一些副作用以及手术的适应人群仍是需要关注的问题。

Obesity is a major independent risk factor for the development of type 2 diabetes. As a consequence, the currently increasing prevalence of obesity is associated with a growing incidence of T2DM. Apart from medical treatment, bariatric surgery has also acquired favorable effect, and the mechanism which improve type 2 diabetes has been extensively studied. At the same time the side effects and the indications of bariatric surgery should be paid a great attention.