Abstract:

The development of bariatric and metabolic surgery from the change of surgical procedures        ZHU Li-yong，JI Guang-nian，SUN Xu-long，et al. Department of Bariatric and Metabolic Surgery, the Third Xiangya Hospital，Central South University，Changsha 410013，China
Corresponding author：ZHU Shai-hong，E-mail：shaihongzhu@126.com
Abstract    After nearly 70 years development，bariatric and metabolic surgery has become one of the most innovation and technical challenges sub-specialty in general surgery. Jejunoileal bypass, Roux-en-Y gastric bypass，vertical banded gastroplasty，biliopancreatic diversion and duodenal switch, adjustable gastric banding and sleeve gastrectomy have ever dominated during the development of bariatric and metabolic surgery. In addition, new procedures such as mini-gastric bypass，are also being developed. Improvement in minimally invasive surgery, cognition of gastrointestinal and metabolic physiological mechanisms, and multidisciplinary treatment promote the development of bariatric and metabolic surgery.

Key words: bariatric and metabolic surgery, surgical procedure, development trend

摘要：

减重代谢外科经过近70年的发展，已成为普通外科中具有创新意义和技术挑战的亚专科。空肠回肠旁路术、Roux-en-Y胃旁路术、垂直绑带胃成形术、胆胰分流及十二指肠转位术、可调节胃束带术和胃袖状切除术在减重手术发展中均曾占过主导地位，迷你胃旁路术等新型术式也在不断发展。微创手术技术的进步、对胃肠道及代谢生理机制认识的加深、以及多学科综合治疗协作组（MDT）模式的应用，均为减重代谢外科的发展指明了方向。

关键词: 减重代谢外科, 手术方式, 发展趋势