Application of the concept of precision obesity metabolic surgery in laparoscopic Roux-en-Y gastric bypass.
10.3760/cma.j.cn441530-20220717-00317
- Author:
Yi YANG
1
;
Wen Hui CHEN
1
;
Zhi Yong DONG
1
;
Cun Chuan WANG
1
Author Information
1. Department of Gastrointestinal Surgery, Department of Bariatric Surgery, the First Affiliated Hospital, Jinan University, Guangzhou 510630, China.
- Publication Type:Journal Article
- MeSH:
Artificial Intelligence;
Bariatric Surgery;
Diabetes Mellitus, Type 2/surgery*;
Gastric Bypass/adverse effects*;
Humans;
Laparoscopy;
Obesity/surgery*;
Obesity, Morbid/surgery*;
Treatment Outcome;
Weight Loss
- From:
Chinese Journal of Gastrointestinal Surgery
2022;25(10):875-880
- CountryChina
- Language:Chinese
-
Abstract:
Due to the complexity and heterogeneity of obesity, the diagnosis and treatment of obesity vary greatly. Five to 10 percent of body weight can be lost through lifestyle modifications, nutritional and behavioral counseling, and the use of approved weight reduction medicines for obesity and diabetes; however, these non-surgical treatments are not effective for all patients. Compared to medical therapy, bariatric surgery is associated with higher rates of type 2 diabetes remission, lower mortality from vascular complications, and long-term, sustained weight loss. With the advent of precision medicine in surgical therapy, bariatric surgeons' fundamental understanding of laparoscopic Roux-en-Y gastric bypass surgery has evolved in recent years. The objective of surgery has shifted from short-term weight loss to the safe and successful long-term management of patient weight and comorbidities. In laparoscopic Roux-en-Y gastric bypass surgery, the concept of precision bariatric and metabolic surgery is mainly reflected in three aspects: accurate preoperative assessment, precise intraoperative operation, and comprehensive postoperative management. A new direction for the future development of precision laparoscopic Roux-en-Y gastric bypass surgery and obesity metabolic surgery is to formulate precise and individualized surgical treatment plans for patients and to use artificial intelligence and big data technology to improve the standardization of specialist data.
