代谢手术治疗糖尿病的光明前景与现实挑战

Prospect and challenge for metabolic surgery in treatment of type 2 diabetes mellitus

临床研究已证实,代谢手术能缓解T2DM,同时可改善多种糖尿病并发症和减少心血管事件,是治疗糖尿病的有效方法之一。目前,限制这项技术在我国临床开展的因素有对代谢手术效益的认识不足、适应证的选择及目前分科的治疗模式。因此,探索互利共赢的多学科合作模式、深入开展代谢手术治疗糖尿病的机制探索,开展内科主导的规范管理对促进我国糖尿病代谢手术的发展极为重要。

Clinical studies have confirmed that metabolic surgery is an effective method for the treatment of diabetes,which can significantly relieve symptoms of type 2 diabetes,improve various complications and reduce cardiovascular events.Currently,major limitations of this technique in clinical practice in China include the lack of understanding on surgical benefits,difficulty in selection of surgery indications and division-based treatment modalities.Thus,we should explore a cooperation model of multidiscipline teams,understand the mechanisms of type 2diabetes remission by metabolic surgery and develop physician internist leading standard post-operation management.These strategies will greatly promote the development of metabolic surgery for type 2diabetes in China.