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中华肥胖与代谢病电子杂志 ›› 2025, Vol. 11 ›› Issue (04) : 303 -310. doi: 10.3877/cma.j.issn.2095-9605.2025.04.007

综述

减重代谢手术从外科到内镜治疗的革新与进展
许朱琳, 刘璐, 朱锦舟, 刘晓琳()   
  1. 215006 苏州,苏州大学附属第一医院消化内科
  • 收稿日期:2025-07-28 出版日期:2025-11-30
  • 通信作者: 刘晓琳
  • 基金资助:
    国家自然科学基金青年项目(81900508); 苏州市基础研究试点面上项目(SSD2024042)

Innovation and progress of bariatric surgery from surgical to endoscopic treatment

Zhulin Xu, Lu Liu, Jinzhou Zhu, Xiaolin Liu()   

  1. Department of Gastroenterology, the First Affiliated Hospital of Soochow University, Suzhou 215006, China
  • Received:2025-07-28 Published:2025-11-30
  • Corresponding author: Xiaolin Liu
引用本文:

许朱琳, 刘璐, 朱锦舟, 刘晓琳. 减重代谢手术从外科到内镜治疗的革新与进展[J/OL]. 中华肥胖与代谢病电子杂志, 2025, 11(04): 303-310.

Zhulin Xu, Lu Liu, Jinzhou Zhu, Xiaolin Liu. Innovation and progress of bariatric surgery from surgical to endoscopic treatment[J/OL]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2025, 11(04): 303-310.

肥胖症的发病率持续攀升,已成为全球重大公共卫生问题。减重代谢手术是目前治疗中重度肥胖最有效的手段,其术式从传统外科手术逐步拓展至内镜下治疗。外科减重手术通过重塑解剖结构和调控神经内分泌,显著改善代谢异常并实现长期减重。内窥镜减肥和代谢疗法模拟外科手术作用机制,具有创伤小、恢复快、可重复操作的优势,为肥胖患者提供了新选择。本文综述减重代谢手术的研究进展,旨在推动减重治疗的个体化发展。

The incidence of obesity continues to rise, becoming a major global public health problem. Bariatric surgery is currently the most effective means of treating moderate to severe obesity, and its procedures have expanded from traditional surgical procedures to endoscopic treatment gradually. Bariatric metabolic surgery (BMS) improves metabolic abnormalities and achieves long-term weight loss by reshaping anatomical structures and regulating neuroendocrine. Endoscopic bariatric and metabolic therapy (EBMT) simulates the mechanism of surgical operation, has the advantages of less trauma, faster recovery, and repeatable operation, providing a new option for obese patients. This article reviews the research progress of bariatric surgeries, aiming to promote the individualization of weight loss treatment.

表1 BMS后的体重减轻与代谢结局
表2 主要EBMT的概述
表3 主要减重术式的特征综合对比
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