【作者】
李梦伊；
王桂琦；
于卫华；
辛贺；
李滢旭；
艾克拜尔·艾力；
朱燕昆；
姚立彬；
吕金利；
梁晓宇；
刘洋；
李震；
孟凡强；
徐东升；
张能维；
王举；
赵象文；
贾犇黎；
张松海；
韩建立；
韩加刚；
丁印鲁；
张建成；
蔺宏伟；
毛忠琦；
王军；
谢铭；
闫巍；
王兵；
李会齐；
尹剑辉；
李广丽；
姜涛；
吴良平；
陈颢；
吴建林；
朱晒红；
克力木·阿不都热依木；
张鹏；
张忠涛；
代表大中华减重与代谢手术数据库研究者团队；
【Author】
LI Meng-yi;WHANG Gui-qi;YUWei-hua;XIN He;LI Ying-xu;Aikebaier·Aili;ZHU Yan-kun;YAO Li-bin;LYU Jin-li;LIANG Xiao-yu;LIU Yang;LI Zhen;MENG Fan-qiang;XU Dong-sheng;ZHANG Neng-wei;WANG Ju;ZHAO Xiang-wen;JIA Ben-li;ZHANG Song-hai;HAN Jian-li;HAN Jia-gang;DING Yin-lu;ZHANG Jian-cheng;LIN Hong-wei;MAO Zhong-qi;WANG Jun;XIE Ming;YAN Wei;WANG Bing;LI Hui-qi;YIN Jian-hui;LI Guang-li;JIANG Tao;WU Liang-ping;CHEN Hao;WU Jian-lin;ZHU Shai-hong;Kelimu·Abudureyimu;ZHANG Peng;ZHANG Zhong-tao;represent the research team of Greater China metabolic and bariatric surgery database;Department of GeneralSurgery, Beijing Friendship Hospital, Capital Medical University & National Clinical Research Center for Digestive Diseases & State Key Lab of Digestive Health;Department of Bariatric Surgery, the First Hospital of Hebei Medical University;Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine;Department of Bariatric Surgery, Changchun Jiahe Surgical Hospital;Department of Minimally Invasive Metabolic Surgery, the Second People’s Hospital of Qujing City;Department of Minimally Invasive Surgery, Hernia & Abdominal Wall Surgery, People’s Hospital of Xinjiang Uygur Autonomous Region;Fourth Department of General Surgery, Kunming Yan’an Hospital;Department of Bariatric & Metabolic Surgery, Affiliated Hospital of Xuzhou Medical University;Endocrine & Metabolic Weight Loss Center, the 988th Hospital of the PLA Joint Logistics Support Force;Department of General Surgery, Tianjin Medical University General Hospital;Department of Hepatobiliary & Pancreatic Surgery (Bariatric & Metabolic Diseases Surgery Center), Zhongnan Hospital of Wuhan University;Department of General Surgery, China-Japan Friendship Hospital;Department of General Surgery, the First Hospital of Harbin;Department of General Surgery, Beijing Shijitan Hospital, Capital Medical University;Department of General Surgery, Inner Mongolia Autonomous Region People’s Hospital;Department of Bariatric & Metabolic Surgery, Xiaolan People’s Hospital of Zhongshan;Department of General Surgery, the Second Affiliated Hospital of Anhui Medical University;Department of Gastrointestinal Surgery, the First Affiliated Hospital of Henan University of Science and Technology;Department of Thyroid & Bariatric Metabolic Surgery, Shanxi Bethune Hospital;Department of General Surgery, Beijing Chaoyang Hospital, Capital Medical University;Department of Gastrointestinal Surgery, the Second Hospital of Shandong University;Department of Gastrointestinal Surgery, Henan Provincial People’s Hospital;Obesity & Metabolic Disease Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences;Department of Bariatric & Metabolic Surgery, the First Affiliated Hospital of Soochow University;Department of Gastrointestinal Surgery, Tangshan Gongren Hospital;Department of General Surgery, Affiliated Hospital of Zunyi Medical University;Department of General Surgery, Tsinghua University Yuquan Hospital (Tsinghua University Hospital of Integrated Traditional & Western Medicine);First Department of General Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine;Department of General Surgery, Affiliated Baoji Hospital of Xi’an Medical University;Department of General Surgery, Kunming First People’s Hospital;Second General Surgery Ward, Xinxiang Second People’s Hospital;Department of Bariatric & Metabolic Surgery, China-Japan Union Hospital of Jilin University;Department of Bariatric&Metabolic Surgery,Jinshazhou Hospital,Guangzhou University of Chinese Medicine;Second General Surgery Department,Xinxiang Central Hospital;Department of Gastrointestinal Surgery,Zibo Central Hospital;Department of Gastrointestinal&Metabolic Surgery,the Third Xiangya Hospital of Central South University;
【通讯作者】
朱晒红;克力木·阿不都热依木;张鹏;张忠涛;
【机构】
首都医科大学附属北京友谊医院普通外科中心 国家消化系统疾病临床医学研究中心 消化健康全国重点实验室；
河北医科大学第一医院减重外科；
浙江大学医学院附属邵逸夫医院普外科；
长春嘉和外科医院普通外科；
曲靖市第二人民医院微创代谢外科；
新疆维吾尔自治区人民医院微创,疝及腹壁外科；
昆明市延安医院普通外科四科；
徐州医科大学附属医院减重代谢外科；
中国人民解放军联勤保障部队第988医院内分泌减重代谢中心；
天津医科大学总医院普通外科；
武汉大学中南医院肝胆胰外科肥胖症与代谢病外科中心；
中日友好医院普外科；
哈尔滨市第一医院普外科；
首都医科大学附属北京世纪坛医院普通外科；
内蒙古自治区人民医院普通外科；
中山市小榄人民医院减重与代谢病外科；
安徽医科大学第二附属医院普通外科；
河南科技大学第一附属医院胃肠外科；
山西白求恩医院甲状腺减重代谢外科；
首都医科大学附属北京朝阳医院普通外科；
山东大学第二医院胃肠外科；
河南省人民医院胃肠外科；
中国医学科学院整形外科医院肥胖与代谢病中心；
苏州大学附属第一医院减重与代谢外科；
唐山市工人医院胃肠外科；
遵义医科大学附属医院普通外科；
清华大学玉泉医院(清华大学中西医结合医院)普通外科；
上海交通大学医学院附属第九人民医院普外一科；
西安医学院附属宝鸡医院普通外科；
昆明市第一人民医院普通外科；
新乡市第二人民医院普外二病区；
吉林大学中日联谊医院减重和代谢外科；
广州中医药大学金沙洲医院减重与代谢外科；
新乡市中心医院普外二科；
淄博市中心医院胃肠外科；
中南大学湘雅三医院胃肠代谢外科；
【摘要】 目的 统计分析中国多地区2024年度减重与代谢手术开展情况。方法 基于大中华减重与代谢手术数据库数据登记工作，统计分析2024年度各地区开展减重与代谢手术情况以及2018-2024年度随访情况，并对病人人口学信息、肥胖相关疾病、手术信息、随访信息等进行统计学描述和分析。结果 2024年度，来自24个省、自治区及直辖市共68家中心上传临床数据至大中华减重与代谢手术数据库，登记有效病例7762例。术前体重指数（BMI）为38.6（25.1,82.1）。女性病人5463例（70.5%），年龄33（12,69）岁；男性病人2283例（29.5%），年龄32（10,69）岁。在所有有效病例中，22.1%的病人在术前合并2型糖尿病，90.5%合并代谢相关性脂肪性肝病，50.7%合并高血压，53.1%合并阻塞型睡眠呼吸暂停综合征，17.1%的女性病人术前合并多囊卵巢综合征。手术方式方面，胃袖状切除术（SG）占87.60%，胃袖状切除联合双通道术（SG-TB）占3.59%,Rouxen-Y胃旁路术（RYGB）占3.43%，单吻合口胃旁路术（OAGB）占2.56%，胃袖状切除联合空肠空肠旁路术（SG-JJB）占2.14%，胃袖状切除联合单吻合口十二指肠回肠旁路术/单吻合口十二指肠转位术（SADI-S/OADS）占0.44%，胃袖状切除联合十二指肠空肠旁路术（SG-DJB）占0.05%，胃袖状切除联合袢式十二指肠空肠旁路术（SG-LDJB）占0.01%，其他手术方式占0.18%。2018-2024年度随访信息显示，不同肥胖症分级（轻度、中度、重度、极重度）组间多余体重减少率（%EWL）与总体重减少率（%TWL）随时间变化趋势差异有统计学意义（P=0.004,P<0.001）。结论 通过对2024年度数据报告分析，中国接受减重与代谢手术病人主要以中青年为主，女性病人居多，术前合并肥胖相关疾病占比高，SG仍为主流术式。术后中长期减重水平显著，不同肥胖症程度术后结局存在差异特征。2024年度报告研究反映了中国减重与代谢外科学科发展动态，为与既往年度数据、国际数据对比提供了重要基础。更多还原
【Abstract】 Objective To summarize the metabolic and bariatric surgery cases performed in multiple regions of China in 2024. Methods Based on the data registration work of the Greater China Metabolic and Bariatric Surgery Database(GC-MBD), this registry report evaluate the prevalence of metabolic and bariatric surgery in multiple regions of China, as well as the follow-up data from 2018 to 2024. Demographic characteristics, obesity-related diseases, surgery information and follow-ups data were statistically described and analyzed. Results In 2024, 68 centers from 24 provinces/provincelevel municipalities in China registered a total of 7 762 valid cases to GC-MBD. The patients’ median(minimum, maximum) BMI before the surgery was 38.6(25.1, 82.1). The cases of female patients were 5 463(70.5%), with median(minimum, maximum) age of 33(12, 69) years, while the cases of male patients were 2 283(29.5%), with median(minimum, maximum) age of 32(10, 69) years. Among all valid cases, 22.1% of patients had history of type 2 diabetes, 90.5% of patients had history of fatty liver disease, 50.7% of patients had history of hypertension, 53.1% of patients had obstructive sleep apnea syndrome(OSAS), and 17.1% of female patients had history of polycystic ovary syndrome(PCOS). Among all procedures, 87.60% were sleeve gastrectomy(SG), 3.59% were sleeve gastrectomy with transit bipartition(SG-TB), 3.43% were Roux-en-Y gastric bypass(RYGB), 2.56% were one anastomosis gastric bypass(OAGB), 2.14% were sleeve gastrectomy with jejuno-jenunal bypass(SG-JJB), 0.44% were single-anastomosis duodenal-ileal bypass with sleeve gastrectomy/one anatomosis duodenal switch(SADI-S/OADS), 0.05% were sleeve gastrectomy with duodenojejunal bypass(SG-DJB), 0.01% were sleeve gastrectomy with loop duodenojejunal bypass(SG-LDJB), and 0.18% were other operation types. There were significant differences in the trends of excess weight loss rate(% EWL) and total weight loss rate(% TWL) over time among different obesity severity groups(mild, moderate, severe, and very severe)(P=0.004, P<0.001). Conclusion Based on the analysis of the 2024 registry report, patients who underwent metabolic and bariatric surgery in China are mainly middle-aged and young, with a majority of female patients and a high proportions of obesity-related diseases before surgery. SG still is the mainstream surgical procedure in China. The weight loss level in the mid-to-long term after surgery is significant, with differential characteristics observed among different severities of obesity. The 2024 registry report reflects the disciplinary development trends of metabolic and bariatric surgery in China, providing an important basis for comparison with previous annual and international data.更多还原
【基金】 国家科技支撑计划项目(No.2015BA113B09);国家重点研发计划项目(No.2022YFC2505204);北京市自然科学基金面上项目(No.724240)~~
