手术减肥有助于糖尿病病情的缓解

据纽约肥胖疾病治疗中心研究表明：尽管肥胖症一直以来是患糖尿病的先兆，但是手术减肥已经成为一种新的方式来有效得帮助肥胖患者重新达到正常血糖指数，并减少患者为控制糖尿病病情而对药物治疗产生的依赖。

美国疾病控制中心称，在美国，有20%甚至更多的成年人患有肥胖症。肥胖增加了人们得糖尿病以及心血管疾病的几率。美国疾病控制中心警觉到，如果目前的状况得不到控制，肥胖症将会成为造成美国可预防死亡的首要因素。对于肥胖症患者而言，如果要减轻100磅或者更多的体重，那么，手术减肥是无疑是最有效、并且效果最持久的方式。

肥胖疾病治疗中心的创始人之一，同时，也是美国曼哈顿圣文森特医院缩胃手术的主治医师詹姆斯·萨帕拉先生，开创了一种全新的帮助减肥的外科技术。这一技术被称为“萨帕拉-伍德微囊”技术，它由一个开口的Roux-en-Y胃替代管与一个小的囊袋组成。到目前为止，这项技术进行得十分顺利，90%以上接受此类手术的患者，在手术后的两年内，成功减去了多余体重的75%。比起不用胃囊的Roux-en-Y手术方法而言，这一新型技术的效果更为显著。而且，这一技术只需在更小的范围内开切口，那就意味着，病人的身上今后将留下更小的伤疤。

另一种类似的医疗装置称为Lap-Band，它与腹腔镜胃搭桥手术使用相同的腹腔镜装置与技术，但不同的是，在胃部上侧有一个Lap-Band可调节性为绷带系统，用来固定囊袋，控制胃吸收量。这一技术能使肥胖病患者在手术后的两至三年内减去多余体重的36-38%。

英文原文报道：

Surgical Weight Loss Improves Diabetic Status

 
Although obesity poses serious health implications as a harbinger of type 2 diabetes, surgical weight loss is a way to achieve normal blood sugar levels and reduce the need for medication to control type 2 diabetes, according to the Centers for Obesity-Related Illness (CORI, New York, NY).

The U.S. Centers for Disease Control (CDC, Atlanta, GA, USA) state that 20% or more of adults in the United States are obese. Obesity leads to an escalating risk for diseases such as diabetes and coronary heart disease. The CDC notes that if current trends persist, obesity will become the leading U.S. cause of preventable death. For obese people, surgical weight loss is the most effective lasting solution for losing 100 pounds or more.

A new surgical technique for weight loss has been developed by the cofounder of CORI, James A. Sapala, M.D., chief of bariatric surgery at St. Vincent抯 Hospital-Manhattan (New York, NY, USA). This technique, called the Sapala-Wood Micropouch, consists of an open Roux-en-Y gastric bypass surgery with a very small pouch, which to date has not required a revision. More than 90% of Micropouch patients lose 75% of their excess weight within two years of surgery, equaling or surpassing the weight reduction achieved with Roux-en-Y bypass surgery without the Micropouch. The procedure requires smaller incisions, which means smaller scars long-term.

Another procedure called Lap-Band uses the same laparoscopic tools and techniques as laparoscopic gastric bypass, but an adjustable band is placed around the upper portion of the stomach to create a small pouch that restricts how much the stomach can hold. The average weight loss is 36-38% of excess weight two to three years after surgery.