摘要
减重代谢手术已成为治疗肥胖合并2型糖尿病的有效方法,近年来在我国迅速普及。由于病人本身常合并严重的肥胖相关疾病,加之手术后全身代谢情况将发生较大改变,故此类手术与普外科常规胃肠手术相比,围手术期需要更全面的评估、准备和多学科团队参与管理。为保证手术的安全性和有效性,围手术期管理须规范化。减重代谢手术术前须经过严格的多学科团队评估,包括门诊评估和入院后评估,入院后除常规术前检查,还须完善内分泌、营养代谢及相关危险因素检查,必要时给予干预。为降低早期和中远期并发症发生率,须对术后管理进行严格要求。此外,规范的终身随访对于手术疗效和安全性的保证也必不可少。
Bariatric and metabolic surgery has become an effective approach to treat obesity type 2 diabetes mellitus. It has been rapidly popularized in China in recent years. As the patients often have severe obesity related diseases together with significant changes of the whole metabolism after surgery, bariatric and metabolic surgery requires a more comprehensive evaluation, preparation, and multidisciplinary team involved management in perioperative period than conventional gastrointestinal surgery in general surgery. In order to guarantee the safety and efficacy of the surgery, a normative perioperative management is needed. Bariatric and metabolic surgery must first go through a strict multidisciplinary team （MDT） assessment, including the outpatient service assessment and evaluation after admission. In addition to the routine preoperative examination after admission, endocrine, nutrition metabolism and related risk factors inspection should be completed, and interventions shall be given when necessary. In order to reduce the incidence of early and mid-long-term complications, there are strict requirements on postoperative management. In addition, a normative life-long follow-up is also essential for curative effect and safety guarantee.
出处
《中国实用外科杂志》
CSCD
北大核心
2014年第11期1035-1038,共4页
Chinese Journal of Practical Surgery
关键词
肥胖症
2型糖尿病
围手术期
减重手术
obesity
type 2 diabetes mellitus
perioperation
bariatric surgery
