随着研究的不断深入，越来越多的证据表明，胃肠外科手术能有效治疗或者改善多种代谢疾病，如2 型糖尿病、高血压、高血脂等。目前，主要有5种手术治疗方式被广泛接受，分别为“Y”形胃肠短路术、改良简易型胃肠短路术、胆胰旷置术或十二指肠转位术、管状胃胃切除术和可调节胃绑带术，而这些手术绝大多数都可以在腹腔镜的条件下完成。

Reasonable option and evaluation of digestive tract reconstruction in surgical treatment for metabolic diseases        ZHENG Cheng-zhu, DING Dan. Department of Minimally Invasive Surgery, Changhai Hospital, the Second Military Medical University, Shanghai 200433, China
Corresponding author: ZHENG Cheng-zhu, E-mail: fredzhengzz@hotmail.com
Abstract    More and more researches and evidences found that gastrointestinal surgery can relieve many metabolic diseases associated with obesity, such as T2DM, hypertension and hyperlipidemia. Currently, five operation types have been accepted, which are Roux-en-Y gastric bypass（RYGBP）, mini gastric bypass（MGB），biliopancreatic diversion（BPD）or biliopancreatic diversion with duodenal switch（BPD-DS）, sleeve gastrectomy（SG） and adjustable gastric banding（AGB）. Most of the operations could be done with laparoscopy