国外糖尿病手术发展现况,由减重手术到糖尿病手术以减重手术治疗糖尿病胃肠道代谢手术(Gastro-intestinalMetabolicsurgery)病人的选择,Nature2000;404,635-43,减重手术在美国已是最常见的胃肠道手术,生命不可承受之重Unbearableweightinlife,BMI与死亡率的关系,Mortalitylowestat22.5-2530%higherateach5BMIhigher40%vascular60-120%DM,renalandhepatic10%Malignancy,Lancet.2009March28;373(9669):1083-1096,JAMA1999,减重手术是严重肥胖最有效的治疗方法EffectofBariatricSurgeryonMortalityinSwedishObeseSubjects,LarsSjostrometal.NEnglJMed2007:357:741-52,减重手术对瑞典病人死亡率的影响EffectofBariatricSurgeryonMortalityinSwedishObeseSubjec