고도 비만의 외과적 치료

Abstract

Surgical therapy is currently the only effective treatment for morbid obesity. Bariatric surgery traditionally consisted of laparoscopicgastric bypass and adjustable gastric banding in numerous patients. Recently, laparoscopic sleeve gastrectomy has become the mostcommon bariatric procedure performed. Publicly issued medical-accident had a critical effect on the incidence and trend of bariatricsurgery in Korea. Recently, the trend of bariatric surgery has shifted from weight loss surgery to metabolic surgery. The onco-metabolicsurgical concept needs to be considered for gastric cancer patients with type II diabetes mellitus (DM) who are expecting afavorable prognosis. Therefore, for gastric cancer patients with type II DM, curative gastrectomy with long-limb bypass reconstructioncould be a more attractive option for long-term diabetes control. Although a few centers are currently applying this reconstructionmethod for some early gastric cancer cases, further studies are needed.