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

摘要：

中国减重代谢外科经历了曲折却充满收获的20年，但目前依然存在诸多不足，主要包括代谢内、外科对于手术中长期疗效的分歧，病人对减重手术认识不足、认可度低，以及部分减重代谢外科团队手术适应证掌握不准确、手术方式选择不当、手术技术参差不齐、术后并发症处理不及时、术后随访欠规范等一系列问题。在行业协会的正面引导下，落实数据采集、汇报制度，行业培训的规范化，倡导多中心前瞻性研究的标准化管理，加大媒体的宣传力度，必将使我国减重代谢外科突破瓶颈，迎来下一个飞速发展的新起点。

关键词: 肥胖症, 2型糖尿病, 减重代谢外科