摘要
单纯性肥胖症及2型糖尿病的治疗应是多学科的综合治疗，包括饮食结构调整、增加身体活动量、行为纠正和药物治疗。一些病态肥胖患者还需要进行微创减肥手术治疗。尽管近年来微创减肥手术对于治疗单纯性肥胖症及2型糖尿病的疗效明显，但存在的问题是：缺乏相关科室的协作与多学科综合治疗以及患者随访率低，这是手术风险增加、疗效差和并发症增多的主要原因。因此，单纯性肥胖症和2型糖尿病及其合并症应该予以微创胃肠外科与相关多学科的综合治疗并进行长期随诊。
Obesity and type 2 diabetes mellitus should be treated using a multidisciplinary approach, including diet modification, increasing physical activity, behavior modification and drug treatment. Some morbidly obese patients even require minimally invasive gastrointestinal surgery. Although in recent years, minimally invasive gastrointestinal bariatric surgery in the treatment of obesity and type 2 diabetes mellitus appears to be effective, while problems exist including lack of relevant collaborative departments and multidisciplinary treatment and low follow-up rate, which are the main reasons for poor outcomes and complications. Therefore, the management of obesity and type 2 diabetes mellitus and its co-morbidities should be minimally invasive gastrointestinal surgery, muhidisciplinary treatment, and long-term follow-up.
出处
《中华胃肠外科杂志》
CAS
2012年第11期1106-1108,共3页
Chinese Journal of Gastrointestinal Surgery
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
肥胖症
2型糖尿病
减重手术
综
合治疗
Obesity
Type 2 diabetes mellitus
Bariatric surgery
Muhidisciplinary treatment
