低体质量指数糖尿病手术现状与思考

Current situation of and thoughts on surgery for diabetes mellitus patients with low body mass index

手术在糖尿病治疗中的价值引起了医学界的广泛关注,但目前的代谢外科手术更多地借鉴了欧美病态肥胖症的手术经验.对于低BMI糖尿病的手术,从手术适应证、手术方式到术后随访等方面都存在较多争议.我国有大量的低BMI糖尿病患者,手术适应证和手术方式不规范、缺乏系统随访等常见的问题.探索低BMI糖尿病患者的手术指征、手术方式以及疗效判定对今后持续开展这项工作具有深远的意义.

The value of surgery in the diabetes mellitus treatment receives much attention in the medical field,however,Chinese metabolic surgeons adopt the surgical experience from surgeries for morbid obesity in western countries.There are many controversies on the operative indication,operation method and postoperative follow-up of surgery for diabetes mellitus with low body mass index （BMI）.Our nation has a large number of patients with diabetes mellitus and low BMI,in which uncheckedoperative indication,unstandard operation method and non-systematic follow-up are common problems.It has profound significance to investigate operative indication,operation method and efficacy evaluation for patients with diabetes mellitus and low BMI.