Application of metabolic and bariatric surgery in comprehensive treatment of obesity_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 LIU Yanjun ^1,2

1. Center of Gastrointestinal and Minimally Invasive Surgery & Center of Obesity and Metabolic Diseases, Department of General Surgery, The Third People’s Hospital of Chengdu, Affiliated Hospital of Southwest Jiaotong University & The Second Affiliated Hospital of Chengdu, Chongqing Medical University, Chengdu 610031, P. R. China;
2. Institute for Obesity and Metabolic Diseases, College of Medicine, Southwest Jiaotong University, Chengdu 610031, P. R. China;

Corresponding author：

LIU Yanjun, Email: liuyanjun_001@163.com

Keywords：

metabolic and bariatric surgery; obesity; bariatric surgery indications; surgical procedure; perioperative period

DOI：

10.7507/1007-9424.202301031

Video：

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Obesity is a disease state characterized by the accumulation of abnormal or excessive fat that threatens human health. With the rapid development of the economy and society and the change in lifestyle, obesity is highly prevalent in our country and has become an important disease that threatens the health of the population. Different from traditional non-surgical treatments, metabolic and bariatric surgery has a definite curative effect, is not easy to rebound, has good safety, and has sufficient evidence of clinical benefit, which can make many obese patients, especially those with moderate to severe obesity, fully recover. The treatment of obesity has become an important means in the comprehensive treatment of obesity. This article intends to describe the application of bariatric metabolic surgery in the comprehensive treatment of obesity from three aspects: bariatric surgery indications, surgical method selection, and perioperative multidisciplinary intervention.

Citation： LIU Yanjun. Application of metabolic and bariatric surgery in comprehensive treatment of obesity. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2023, 30(3): 260-263. doi: 10.7507/1007-9424.202301031 Copy

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2.	Wang Y, Zhao L, Gao L, et al. Health policy and public health implications of obesity in China. Lancet Diabetes Endocrinol, 2021, 9(7): 446-461.
3.	中华医学会内分泌学分会, 中华中医药学会糖尿病分会, 中国医师协会外科医师分会肥胖和糖尿病外科医师委员会, 等. 基于临床的肥胖症多学科诊疗共识(2021年版). 中华消化外科杂志, 2021, 20(11): 1137-1152.
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5.	IFSO. 7th IFSO Global Registry Report , 2022. https://www.ifso.com/pdf/ ifso-7th- registry- report-2022.pdf.
6.	NIH conference. Gastrointestinal surgery for severe obesity. Consensus Development Conference Panel. Ann Intern Med, 1991, 115(12): 956-961.
7.	Eisenberg D, Shikora SA, Aarts E, et al. 2022 American Society for Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO): Indications for metabolic and bariatric surgery. Surg Obes Relat Dis, 2022, 18(12): 1345-1356.
8.	Alqahtani AR, Elahmedi M, Abdurabu HY, et al. Ten-year outcomes of children and adolescents who underwent sleeve gastrectomy: weight loss, comorbidity resolution, adverse events, and growth velocity. J Am Coll Surg, 2021, 233(6): 657-664.
9.	Armstrong SC, Bolling CF, Michalsky MP, et al. Pediatric metabolic and bariatric surgery: evidence, barriers, and best practices. Pediatrics, 2019, 144(6): e20193223. doi: 10.1542/peds.2019-3223.
10.	Pratt JSA, Browne A, Browne NT, et al. ASMBS pediatric metabolic and bariatric surgery guidelines, 2018. Surg Obes Relat Dis, 2018, 14(7): 882-901.
11.	Xu C, Yan T, Liu H, et al. Comparative safety and effectiveness of Roux-en-Y gastric bypass and sleeve gastrectomy in obese elder patients: a systematic review and meta-analysis. Obes Surg, 2020, 30(9): 3408-3416.
12.	李梦伊, 刘洋, 刘雁军, 等. 大中华减重与代谢手术数据库2021年度报告. 中国实用外科杂志, 2022, 42(5): 550-560.
13.	Schauer PR, Kashyap SR, Wolski K, et al. Bariatric surgery versus intensive medical therapy in obese patients with diabetes. N Engl J Med, 2012, 366(17): 1567-1576.
14.	Aminian A, Brethauer SA, Andalib A, et al. Individualized metabolic surgery score: procedure selection based on diabetes severity. Ann Surg, 2017, 266(4): 650-657.
15.	Bullen NL, Parmar J, Gilbert J, et al. How effective is the multidisciplinary team approach in bariatric surgery? Obes Surg, 2019, 29(10): 3232-3238.

1. Pan XF, Wang L, Pan A. Epidemiology and determinants of obesity in China. Lancet Diabetes Endocrinol, 2021, 9(6): 373-392.
2. Wang Y, Zhao L, Gao L, et al. Health policy and public health implications of obesity in China. Lancet Diabetes Endocrinol, 2021, 9(7): 446-461.
3. 中华医学会内分泌学分会, 中华中医药学会糖尿病分会, 中国医师协会外科医师分会肥胖和糖尿病外科医师委员会, 等. 基于临床的肥胖症多学科诊疗共识(2021年版). 中华消化外科杂志, 2021, 20(11): 1137-1152.
4. 李梦伊, 刘洋, 张松海, 等. 大中华减重与代谢手术数据库2020年度报告. 中国实用外科杂志, 2021, 41(5): 533-542.
5. IFSO. 7th IFSO Global Registry Report , 2022. https://www.ifso.com/pdf/ ifso-7th- registry- report-2022.pdf.
6. NIH conference. Gastrointestinal surgery for severe obesity. Consensus Development Conference Panel. Ann Intern Med, 1991, 115(12): 956-961.
7. Eisenberg D, Shikora SA, Aarts E, et al. 2022 American Society for Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO): Indications for metabolic and bariatric surgery. Surg Obes Relat Dis, 2022, 18(12): 1345-1356.
8. Alqahtani AR, Elahmedi M, Abdurabu HY, et al. Ten-year outcomes of children and adolescents who underwent sleeve gastrectomy: weight loss, comorbidity resolution, adverse events, and growth velocity. J Am Coll Surg, 2021, 233(6): 657-664.
9. Armstrong SC, Bolling CF, Michalsky MP, et al. Pediatric metabolic and bariatric surgery: evidence, barriers, and best practices. Pediatrics, 2019, 144(6): e20193223. doi: 10.1542/peds.2019-3223.
10. Pratt JSA, Browne A, Browne NT, et al. ASMBS pediatric metabolic and bariatric surgery guidelines, 2018. Surg Obes Relat Dis, 2018, 14(7): 882-901.
11. Xu C, Yan T, Liu H, et al. Comparative safety and effectiveness of Roux-en-Y gastric bypass and sleeve gastrectomy in obese elder patients: a systematic review and meta-analysis. Obes Surg, 2020, 30(9): 3408-3416.
12. 李梦伊, 刘洋, 刘雁军, 等. 大中华减重与代谢手术数据库2021年度报告. 中国实用外科杂志, 2022, 42(5): 550-560.
13. Schauer PR, Kashyap SR, Wolski K, et al. Bariatric surgery versus intensive medical therapy in obese patients with diabetes. N Engl J Med, 2012, 366(17): 1567-1576.
14. Aminian A, Brethauer SA, Andalib A, et al. Individualized metabolic surgery score: procedure selection based on diabetes severity. Ann Surg, 2017, 266(4): 650-657.
15. Bullen NL, Parmar J, Gilbert J, et al. How effective is the multidisciplinary team approach in bariatric surgery? Obes Surg, 2019, 29(10): 3232-3238.

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Application of metabolic and bariatric surgery in comprehensive treatment of obesity

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