胃转流术治疗2型糖尿病的多学科综合治疗的模式

Integrated multi-disciplinary treatment modalities for the gastric bypass operation in treatment of type 2 diabetes mellitus

2型糖尿病在我国及世界多国迅速增长,威胁到人类健康,引起了代谢疾病的增长和疾病谱的改变;其伴发疾病,死亡率及引发的相关社会问题亟待世界关注,近年来,对于2型糖尿病的治疗从单纯饮食,运动药物以及手术转向了多学科治疗模式。胃转流术(GBP)是目前治疗2型糖尿病最有效的治疗选择之一,胃转流术后的治疗管理应该是多学科综合治疗,包括调整饮食结构、增加身体活动量、纠正行为和药物治疗。多学科综合治疗模式已在恶性肿瘤及肥胖症等多种疾病的治疗中被大多数国家和医院采用,现代多学科优势对于提高胃转流术的效果和医疗服务水平,共同探讨解决术后难题,促进外科手术水平提高将发挥越来越重要的作用。

The rapid increase of type 2 diabetes mellitus nationwide and worldwide has threateneO human neaLm anQ causeu the increase of metabolic diseases and the changea of disease spectrum. Its co-morbidities, mortality, and relevant socio--economie issues have became global concerns. Integrated multi-disciplinary treatment modalities have emerged in recent years. The gastric bypass operation （GBP） is one of the most effective treatment options for type 2 diabetes mellitus. The management after the gastric bypass operation should be multi-disciplinary and comprehensive, including dietary adjustment physical exercise, behavioral intervention and drug therapy. Multi-disciplinary treatment modalities for tumors, obesity, other diseases have been widely adopted.This strategy may play increasingly important roles in improving the treatment effectiveness of the gastric bypass operation. Upgrading heahhcare services, and aaddressing interdisciplinary problems.