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减肥手术治疗2型糖尿病近况
引用本文:江兆涛,邹一平. 减肥手术治疗2型糖尿病近况[J]. 国际外科学杂志, 2010, 37(3). DOI: 10.3760/cma.j.issn.1673-4203.2010.03.021
作者姓名:江兆涛  邹一平
作者单位:解放军第309医院肝胆外科腔镜治疗中心,北京,100091
摘    要:减肥有助于治疗肥胖伴发2型糖尿病,但目前尚无有效的药物治疗肥胖症.减肥外科手术能达到明显有效且持续的减重效果.约30%接受减肥手术的患者伴发2型糖尿病,减肥手术后多数患者的2型糖尿病得到缓解(胃肠Bypass手术的有效率为84%~98%,限制食物摄人型手术的有效率为55%~84%).本综述重点讨论各种类型的减肥手术治疗2型糖尿病的疗效及其可能的发生机制.

关 键 词:减肥手术  2型糖尿病  肥胖症

Current status of bariatric surgery for type 2 diabetes management
JIANG Zhao-tao,ZOU Yi-ping. Current status of bariatric surgery for type 2 diabetes management[J]. International Journal of Surgery, 2010, 37(3). DOI: 10.3760/cma.j.issn.1673-4203.2010.03.021
Authors:JIANG Zhao-tao  ZOU Yi-ping
Abstract:Although weight loss is beneficial for obese patients with diabetes, current medical treatment for obesity is difficult. Bariatric surgery leads to substantial and durable weight reduction.Nearly 30% of patients who undergo bariatric surgery have type 2 diabetes.For many of them, diabetes resolves following bariatric surgery (83% to 93% for bypass procedures and 55% to 84% for restrictive procedures).This review discusses the effects of various bariatric procedures on type 2 diabetes mellitus and their possible mechanisms.
Keywords:Bariatric surgery  Type 2 diabetes  Obesity
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