Gastric bypass or sleeve gastrectomy? . . . and other stories

BMJ medicine Pub Date : 2023-08-03 DOI:10.1136/bmj.p1727
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Abstract

Gastric bypass is generally a better option than sleeve gastrectomy, according to a randomised trial in patients with type 2 diabetes and obesity. Evaluated by self-report three years after surgery, the amount of weight lost, likelihood of remission of diabetes, and quality of life were all superior in the gastric bypass group. Postprandial hypoglycaemiawasmore frequent after gastric bypass than after sleeve gastrectomy, but other adverse effects, such as abdominal pain, indigestion, and diarrhoea, were similar after both procedures (Lancet Diabetes Endocrinol doi:10.1016/S2213-8587(23)00127-4).
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胃旁路还是袖式胃切除术?……还有其他的故事
根据一项针对2型糖尿病和肥胖症患者的随机试验,胃旁路术通常是比袖式胃切除术更好的选择。术后3年自我报告评估,胃旁路组体重减轻量、糖尿病缓解可能性和生活质量均优于胃旁路组。胃旁路术后餐后低血糖发生率高于袖式胃切除术,但其他不良反应,如腹痛、消化不良和腹泻,两种手术后相似(Lancet Diabetes Endocrinol doi:10.1016/S2213-8587(23)00127-4)。
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