临床外科杂志 ›› 2026, Vol. 34 ›› Issue (9): 981-984.doi: 10.3969/j.issn.1005-6483.20260775

• 专家笔谈 • 上一篇    下一篇

强药时代减重与代谢外科发展的思考

祁子添 张鹏   

  1. 100050 北京,首都医科大学附属北京友谊医院减重与代谢外科
  • 收稿日期:2026-08-20 出版日期:2026-09-20 发布日期:2026-09-20
  • 通讯作者: 张鹏,Email:zhangpg@yahoo.com
  • 基金资助:
    四大慢病重大专项(2025ZD0550503)

Considerations offuture development of metabolic and bariatric surgery in the era of potent anti-obesity pharmacotherapy

QI Zitian,ZHANG Peng   

  1. Department of Bariatric and Metabolic Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
  • Received:2026-08-20 Online:2026-09-20 Published:2026-09-20

摘要: 近年来,肠促胰素类减重药物研发迅猛进展,促使减重与代谢手术(metabolic and bariatric surgery,MBS)发生深刻变革,肥胖症的临床诊疗格局,已从单纯的体重减轻转向对全身代谢健康的系统性改善。本文系统梳理强药时代背景下MBS领域的核心进展,探讨MBS手术的新质化与标准化、手术在肥胖症治疗中重要性的提升、药物+手术新型联合治疗方案、手术对肥胖相关疾病的治疗循证证据的积累等,总结如何进一步促进肥胖症诊疗的规范化、精准化、个体化、联合化,最终提升肥胖症的治疗效果,使病人获益最大化。

关键词: 肠促胰素类减重药物; 减重与代谢手术; 肥胖症

Abstract: The recent surge in incretin-based pharmacotherapies for obesity is revolutionizing metabolic and bariatric Surgery (MBS) and redefining obesity care.The clinical focus has shifted from weight loss alone to the systemic improvement of overall metabolic health.This editorial aims to provide a systematic review of the key clinical and therapeutic advances in MBS in the era of potent anti-obesity pharmacotherapy, with a focus on the qualitative evolution and standardization of surgical techniques, the elevated role of surgery in obesity management, the emergence of combined therapeutic strategies, the growing body of evidence for MBS in treating obesity-related diseases, etc.Ultimately, standardized, precise, individualized, and combined approaches to obesity management strategy is recommended, so as to enhance therapeutic outcomes and maximize benefits for patients.

Key words: incretin-based anti-obesity pharmacotherapy; metabolic and bariatric surgery; obesity

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