关键词: 肥胖症, 2型糖尿病, 减重代谢外科

Abstract:

Bottlenecks and strategies for the developments of bariatric and metabolic surgery in China        LIU Jin-gang*，WANG Yong，ZHANG Zhong-tao. *Department of General Surgery，the Fourth Affiliated Hospital of China Medical University，Shenyang 110032，China
Corresponding author：LIU Jin-gang，E-mail：liujg1347@sina.com；ZHANG Zhong-tao，E-mail：zhangzht@medmail.com.cn
Abstract    Bariatric and metabolic surgery in China has went through 20 years，which is a tortuous but fruitful experience. However，it is undeniable that there are still many shortcomings in Chinese bariatric and metabolic surgery，mainly including the different views of endocrinologists and bariatric surgeons on the medium and long-term efficacies of operations，the insufficient understandings and low recognitions of the patients for bariatric surgery，the inaccurate mastery of surgical indications by some bariatric surgery teams，the inappropriate choices of surgical methods，uneven surgical techniques，untimely managements of postoperative complications，and nonstandard postoperative follow-ups. Under the positive guidance of the industry association, the implementation of standardization of data collection, reporting system and industry training, the advocacy of standardized management of multi-center prospective research, and the increase of media publicity will surely break the bottleneck of the bariatric  surgery in China and usher in a new starting point of rapid development.

Key words: obesity, T2DM, bariatric and metabolic surgery