CAJ | 학술논문

随着国内外相关减重手术治疗2型糖尿病(T2DM)病例报道的增多，并显现出了良好的短期及长期的临床效果，该方法更加引人关注。然而手术治疗2型糖尿病的机制如何尚无明确结论，认为可能的治疗机制是十二指肠和近端空肠被旷置，从而引发胃肠道激素分泌的变化，使 T2DM 得到控制。本文分别对手术的类别、治疗效果及治疗机制进行综述。
수착국내외상관감중수술치료2형당뇨병(T2DM)병례보도적증다，병현현출료량호적단기급장기적림상효과，해방법경가인인관주。연이수술치료2형당뇨병적궤제여하상무명학결론，인위가능적치료궤제시십이지장화근단공장피광치，종이인발위장도격소분비적변화，사 T2DM 득도공제。본문분별대수술적유별、치료효과급치료궤제진행종술。
In both domestic and foreign literatures,more and more cases of bariatric surgery in the treatment of type 2 diabetes mellitus have been reported with excellent short and long-term clini-cal efficacies.However there is still no clear consensus on the mechanism for surgical treatment of type 2 diabetes.The therapeutic mechanism was probably through an exclusion of duodenum and proximal jejunum.And the ensuing changes of gastrointestinal hormones might bring type 2 diabetes mellitus.This review focuses on the surgical categories,treatment efficacies and mechanism of action.