关键词:  , 肥胖, 减重与代谢手术, 评价

Abstract: Assessment and promotion of new procedures in metabolic and bariatric surgery based upon clinical research        ZHANG Zhong-tao, ZHANG Peng. Division of Metabolic and Bariatric Surgery, General Surgery Center, Beijing Friendship Hospital, Capital Medical University Beijing 100050, China
Corresponding author: ZHANG Zhong-tao, E-mail: Zhangzht@
ccmu.edu.cn
Abstract    Metabolic and bariatric surgery are in a rapid development stage in China. In addition to the sharp increase in surgical volume, different surgical procedures are also emerging. The current surgical procedures in the metabolic and bariatric surgery field in China differ from those in the international community, including that the occupation of globally most commonly performed sleeve gastrectomy (SG)  is  exceptionally high in China, and the number of globally rarely performed sleeve gastrectomy with jejunal-jejunal bypass (SG-JJB) ranks the 2nd in China. Compared to the Western world, the history of metabolic and bariatric surgery in China is not long enough. And as a result, the accumulated clinical evidence is still insufficient. Therefore, SG and Roux-en-Y gastric bypass should still be the first-line procedures and recommended as standard currently. All other bariatric procedures should be conducted as investigational and not be eager to promote. Simultaneously, integrated real-world clinical data collection from these procedures as well as multicentric clinical trials comparing new procedures versus standard procedures should be strongly recommended, in order to validate the safety, effectiveness, pros, and cons of new procedures. These endeavors will provide solid evidence that should be critical for the objective and scientific assessment of new procedures.

Key words: obesity, metabolic and bariatric surgery, assessment