{"id":831,"date":"2026-08-14T01:41:00","date_gmt":"2026-08-13T16:41:00","guid":{"rendered":"https:\/\/nakano-dm.clinic\/blog\/?p=831"},"modified":"2026-04-01T16:17:16","modified_gmt":"2026-04-01T07:17:16","slug":"post-831","status":"publish","type":"post","link":"https:\/\/nakano-dm.clinic\/blog\/post-831\/","title":{"rendered":"2024\u5e746\u6708\u6539\u5b9a\u3067\u9069\u5fdc\u62e1\u5927\u3055\u308c\u305f\u80a5\u6e80\u624b\u8853\u3092\u5c02\u9580\u533b\u304c\u89e3\u8aac\uff01"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>\u76ee\u6b21<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"#bariatric-overview\">\u80a5\u6e80\u624b\u8853\u306b\u3064\u3044\u3066<\/a><\/li>\n\n\n\n<li><a href=\"#sleeve\">\u8179\u8154\u93e1\u4e0b\u30b9\u30ea\u30fc\u30d6\u72b6\u80c3\u5207\u9664\u8853\u3068\u306f\u3069\u306e\u3088\u3046\u306a\u6cbb\u7642\u304b<\/a><\/li>\n\n\n\n<li><a href=\"#sleeve-criteria\">\u8179\u8154\u93e1\u4e0b\u30b9\u30ea\u30fc\u30d6\u72b6\u80c3\u5207\u9664\u8853\u306e\u9069\u5fdc\u6761\u4ef6<\/a><\/li>\n\n\n\n<li><a href=\"#sleeve-bypass\">\u8179\u8154\u93e1\u4e0b\u30b9\u30ea\u30fc\u30d6\u30d0\u30a4\u30d1\u30b9\u8853\u3068\u306f<\/a><\/li>\n\n\n\n<li><a href=\"#sleeve-bypass-criteria\">\u8179\u8154\u93e1\u4e0b\u30b9\u30ea\u30fc\u30d6\u30d0\u30a4\u30d1\u30b9\u8853\u306e\u9069\u5fdc\u6761\u4ef6<\/a><\/li>\n\n\n\n<li><a href=\"#outcomes\">\u624b\u8853\u306e\u52b9\u679c\u306b\u3064\u3044\u3066<\/a><\/li>\n\n\n\n<li><a href=\"#medical-therapy\">\u30de\u30f3\u30b8\u30e3\u30ed\u30fb\u30bc\u30c3\u30d7\u30d1\u30a6\u30f3\u30c9\u306a\u3069\u5185\u79d1\u6cbb\u7642\u3068\u306e\u6bd4\u8f03<\/a><\/li>\n\n\n\n<li><a href=\"#considerations\">\u6ce8\u610f\u3059\u3079\u304d\u70b9\u3068\u9069\u5fdc\u5224\u65ad\u306e\u91cd\u8981\u6027<\/a><\/li>\n\n\n\n<li><a href=\"#clinic-policy\">\u5f53\u30af\u30ea\u30cb\u30c3\u30af\u306e\u6cbb\u7642\u65b9\u91dd<\/a><\/li>\n\n\n\n<li><a href=\"#consult\">\u307e\u305a\u306f\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044<\/a><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"bariatric-overview\">\u80a5\u6e80\u624b\u8853\u306b\u3064\u3044\u3066<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u6771\u4eac\u306eJR\u4e2d\u91ce\u99c5\u5357\u53e3\u3059\u3050\u306e\u300c\u4e2d\u91ce\u99c5\u524d\u5185\u79d1\u30af\u30ea\u30cb\u30c3\u30af \u7cd6\u5c3f\u75c5\u30fb\u5185\u5206\u6ccc\u5185\u79d1\u300d\u9662\u9577\u306e\u5927\u5ead\u5065\u53f2\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5f53\u30af\u30ea\u30cb\u30c3\u30af\u3067\u306f\u3001\u7cd6\u5c3f\u75c5\u306e\u6709\u7121\u306b\u304b\u304b\u308f\u3089\u305a\u3001\u80a5\u6e80\u3067\u304a\u60a9\u307f\u306e\u65b9\u306b\u5bfe\u3057\u3066\u3001\u539f\u56e0\u306e\u8a55\u4fa1\u304b\u3089\u6cbb\u7642\u307e\u3067\u5e45\u5e83\u304f\u5bfe\u5fdc\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u80a5\u6e80\u75c7\u306e\u6cbb\u7642\u306f\u3001\u3053\u308c\u307e\u3067\u98df\u4e8b\u7642\u6cd5\u3084\u904b\u52d5\u7642\u6cd5\u304c\u4e2d\u5fc3\u3067\u3057\u305f\u304c\u3001\u8fd1\u5e74\u306f\u85ac\u306e\u9032\u6b69\u306b\u3088\u3063\u3066\u5927\u304d\u304f\u5909\u308f\u3063\u3066\u304d\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7279\u306bGLP-1\u53d7\u5bb9\u4f53\u4f5c\u52d5\u85ac\u3067\u3042\u308b\u30aa\u30bc\u30f3\u30d4\u30c3\u30af\u30fb\u30a6\u30b4\u30fc\u30d3\u3084\u3001GIP\/GLP-1\u53d7\u5bb9\u4f53\u4f5c\u52d5\u85ac\u3067\u3042\u308b\u30de\u30f3\u30b8\u30e3\u30ed\u30fb\u30bc\u30c3\u30d7\u30d1\u30a6\u30f3\u30c9\u306e\u767b\u5834\u306b\u3088\u308a\u3001\u3053\u308c\u307e\u3067\u96e3\u3057\u304b\u3063\u305f\u5927\u304d\u306a\u4f53\u91cd\u6e1b\u5c11\u304c\u3001\u5185\u79d1\u7684\u306a\u6cbb\u7642\u3067\u3082\u671f\u5f85\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u3046\u3057\u305f\u6d41\u308c\u306e\u4e2d\u3067\u30012024\u5e746\u6708\u306e\u8a3a\u7642\u5831\u916c\u6539\u5b9a\u306b\u3088\u308a\u3001\u65e5\u672c\u306b\u304a\u3051\u308b\u80a5\u6e80\u624b\u8853\u306e\u4f4d\u7f6e\u3065\u3051\u306b\u3082\u91cd\u8981\u306a\u5909\u5316\u304c\u3042\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u8179\u8154\u93e1\u4e0b\u30b9\u30ea\u30fc\u30d6\u72b6\u80c3\u5207\u9664\u8853\u306f\u9069\u5fdc\u304c\u898b\u76f4\u3055\u308c\u3001\u4ee5\u524d\u3088\u308a\u3082\u5bfe\u8c61\u3068\u306a\u308b\u65b9\u304c\u5e83\u304c\u308a\u307e\u3057\u305f\u3002\u307e\u305f\u3001\u65b0\u305f\u306b\u8179\u8154\u93e1\u4e0b\u30b9\u30ea\u30fc\u30d6\u30d0\u30a4\u30d1\u30b9\u8853\u304c\u4fdd\u967a\u9069\u7528\u3068\u306a\u308a\u3001\u6cbb\u7642\u306e\u9078\u629e\u80a2\u304c\u3055\u3089\u306b\u5897\u3048\u3066\u3044\u307e\u3059\u3002<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u30d6\u30ed\u30b0\u3067\u306f\u3001\u3053\u308c\u3089\u306e\u624b\u8853\u306e\u9055\u3044\u3084\u5bfe\u8c61\u3068\u306a\u308b\u65b9\u306e\u6761\u4ef6\u3001\u305d\u3057\u3066\u85ac\u306b\u3088\u308b\u6cbb\u7642\u3068\u306e\u9055\u3044\u306b\u3064\u3044\u3066\u3001\u3067\u304d\u308b\u3060\u3051\u308f\u304b\u308a\u3084\u3059\u304f\u89e3\u8aac\u3057\u3066\u3044\u304d\u307e\u3059\u3002\u6cbb\u7642\u9078\u629e\u3067\u8ff7\u308f\u308c\u3066\u3044\u308b\u65b9\u306e\u53c2\u8003\u306b\u306a\u308c\u3070\u5e78\u3044\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"601\" height=\"600\" src=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2026\/06\/193369-601x600.jpg\" alt=\"\" class=\"wp-image-833\" style=\"width:382px;height:auto\" srcset=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2026\/06\/193369-601x600.jpg 601w, https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2026\/06\/193369-300x300.jpg 300w, https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2026\/06\/193369.jpg 625w\" sizes=\"auto, (max-width: 601px) 100vw, 601px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"sleeve\">\u8179\u8154\u93e1\u4e0b\u30b9\u30ea\u30fc\u30d6\u72b6\u80c3\u5207\u9664\u8853\u3068\u306f\u3069\u306e\u3088\u3046\u306a\u6cbb\u7642\u304b<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u8179\u8154\u93e1\u4e0b\u30b9\u30ea\u30fc\u30d6\u72b6\u80c3\u5207\u9664\u8853\u306f\u3001\u80c3\u306e\u7d0470\uff5e80\uff05\u3092\u5207\u9664\u3057\u3066\u3001\u7d30\u9577\u3044\u7b52\u72b6\u306e\u5f62\u306b\u3059\u308b\u624b\u8853\u3067\u3059\u3002<\/strong>\u3053\u308c\u306b\u3088\u308a\u3001\u4e00\u5ea6\u306b\u98df\u3079\u3089\u308c\u308b\u91cf\u304c\u5c11\u306a\u304f\u306a\u308a\u3001\u81ea\u7136\u3068\u98df\u4e8b\u91cf\u3092\u6e1b\u3089\u3059\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"576\" height=\"600\" src=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2026\/06\/sleeve5-576x600.png\" alt=\"\" class=\"wp-image-836\" style=\"width:415px;height:auto\" srcset=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2026\/06\/sleeve5-576x600.png 576w, https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2026\/06\/sleeve5-288x300.png 288w, https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2026\/06\/sleeve5.png 1029w\" sizes=\"auto, (max-width: 576px) 100vw, 576px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3055\u3089\u306b\u3053\u306e\u624b\u8853\u306e\u7279\u5fb4\u306f\u3001\u300c\u98df\u3079\u308b\u91cf\u304c\u6e1b\u308b\u300d\u3060\u3051\u3067\u306f\u306a\u3044\u70b9\u306b\u3042\u308a\u307e\u3059\u3002\u98df\u6b32\u3092\u9ad8\u3081\u308b\u30db\u30eb\u30e2\u30f3\u3067\u3042\u308b\u30b0\u30ec\u30ea\u30f3\u306e\u5206\u6ccc\u304c\u6e1b\u308b\u305f\u3081\u3001\u7a7a\u8179\u611f\u305d\u306e\u3082\u306e\u304c\u8d77\u3053\u308a\u306b\u304f\u304f\u306a\u308a\u3001\u7121\u7406\u3092\u305b\u305a\u306b\u98df\u4e8b\u91cf\u3092\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3057\u3084\u3059\u304f\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u307e\u305f\u3001\u4f53\u306e\u4e2d\u306e\u30db\u30eb\u30e2\u30f3\u30d0\u30e9\u30f3\u30b9\u304c\u5909\u308f\u308b\u3053\u3068\u3067\u3001\u8840\u7cd6\u5024\u306e\u6539\u5584\u3082\u671f\u5f85\u3067\u304d\u3001\u7cd6\u5c3f\u75c5\u306e\u6cbb\u7642\u306b\u3082\u826f\u3044\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u624b\u8853\u306f\u304a\u8179\u3092\u5927\u304d\u304f\u5207\u3089\u305a\u306b\u884c\u3046\u300c\u8179\u8154\u93e1\u624b\u8853\u300d\u3067\u884c\u308f\u308c\u308b\u305f\u3081\u3001\u4f53\u3078\u306e\u8ca0\u62c5\u304c\u6bd4\u8f03\u7684\u5c11\u306a\u3044\u65b9\u6cd5\u3067\u3059\u3002\u73fe\u5728\u3001\u65e5\u672c\u3067\u306f\u80a5\u6e80\u75c7\u306b\u5bfe\u3059\u308b\u4ee3\u8868\u7684\u306a\u624b\u8853\u3068\u3057\u3066\u5e83\u304f\u884c\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"sleeve-criteria\">\u8179\u8154\u93e1\u4e0b\u30b9\u30ea\u30fc\u30d6\u72b6\u80c3\u5207\u9664\u8853\u306e\u9069\u5fdc\u6761\u4ef6<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u4fdd\u967a\u8a3a\u7642\u3068\u3057\u3066\u8179\u8154\u93e1\u4e0b\u30b9\u30ea\u30fc\u30d6\u72b6\u80c3\u5207\u9664\u8853\u3092\u53d7\u3051\u308b\u305f\u3081\u306b\u306f\u3001\u4ee5\u4e0b\u306e\u2460\u307e\u305f\u306f\u2461\u306b\u8a72\u5f53\u3057\u3001\u3055\u3089\u306b\u98df\u4e8b\u7642\u6cd5\u30fb\u904b\u52d5\u7642\u6cd5\u30fb\u85ac\u306b\u3088\u308b\u6cbb\u7642\u30926\u304b\u6708\u4ee5\u4e0a\u884c\u3063\u3066\u3082\u3001\u5341\u5206\u306a\u52b9\u679c\u304c\u5f97\u3089\u308c\u3066\u3044\u306a\u3044\u5834\u5408\u304c\u5bfe\u8c61\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2460 BMI\u304c35 kg\/m\u00b2\u4ee5\u4e0a\u3067\u3001\u7cd6\u5c3f\u75c5\u30fb\u9ad8\u8840\u5727\u75c7\u30fb\u8102\u8cea\u7570\u5e38\u75c7\u30fb\u9589\u585e\u6027\u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4\u30fb\u975e\u30a2\u30eb\u30b3\u30fc\u30eb\u6027\u8102\u80aa\u6027\u809d\u75be\u60a3\u306e\u3044\u305a\u308c\u304b\u306e\u75c5\u6c17\u3092\u5408\u4f75\u3057\u3066\u3044\u308b\u5834\u5408<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2461 BMI\u304c32.5\uff5e34.9 kg\/m\u00b2\u3067\u3001HbA1c 8.0\uff05\u4ee5\u4e0a\u306e\u7cd6\u5c3f\u75c5\u3092\u542b\u3081\u3001\u4e0a\u8a18\u306e\u3088\u3046\u306a\u80a5\u6e80\u306b\u95a2\u9023\u3059\u308b\u75c5\u6c17\u30922\u3064\u4ee5\u4e0a\u5408\u4f75\u3057\u3066\u3044\u308b\u5834\u5408<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">2024\u5e746\u6708\u306e\u6539\u5b9a\u306b\u3088\u308a\u3001BMI\u304c32.5 kg\/m\u00b2\u4ee5\u4e0a\u306e\u6bd4\u8f03\u7684\u8efd\u5ea6\u306e\u80a5\u6e80\u306e\u65b9\u3067\u3082\u3001\u7cd6\u5c3f\u75c5\u306a\u3069\u306e\u75c5\u6c17\u306e\u72b6\u614b\u304c\u60aa\u3044\u5834\u5408\u306b\u306f\u3001\u624b\u8853\u304c\u691c\u8a0e\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u3002\u3053\u308c\u306b\u3088\u308a\u3001\u3053\u308c\u307e\u3067\u3088\u308a\u3082\u5bfe\u8c61\u3068\u306a\u308b\u65b9\u306e\u5e45\u304c\u5e83\u304c\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"600\" src=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2026\/06\/27380487-600x600.jpg\" alt=\"\" class=\"wp-image-834\" style=\"width:394px;height:auto\" srcset=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2026\/06\/27380487-600x600.jpg 600w, https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2026\/06\/27380487-300x300.jpg 300w, https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2026\/06\/27380487.jpg 1000w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"sleeve-bypass\">\u8179\u8154\u93e1\u4e0b\u30b9\u30ea\u30fc\u30d6\u30d0\u30a4\u30d1\u30b9\u8853\u3068\u306f<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u8179\u8154\u93e1\u4e0b\u30b9\u30ea\u30fc\u30d6\u30d0\u30a4\u30d1\u30b9\u8853\u306f\u3001\u8179\u8154\u93e1\u4e0b\u30b9\u30ea\u30fc\u30d6\u72b6\u80c3\u5207\u9664\u8853\u306b\u52a0\u3048\u3066\u3001\u5c0f\u8178\uff08\u5341\u4e8c\u6307\u8178\u304b\u3089\u7a7a\u8178\u306e\u4e00\u90e8\uff09\u3092\u901a\u3089\u306a\u3044\u3088\u3046\u306b\u3059\u308b\u624b\u8853\u3067\u3059\u3002<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u308c\u306b\u3088\u308a\u3001\u98df\u3079\u3089\u308c\u308b\u91cf\u3092\u6e1b\u3089\u3059\u3060\u3051\u3067\u306a\u304f\u3001\u4f53\u306b\u5438\u53ce\u3055\u308c\u308b\u30ab\u30ed\u30ea\u30fc\u81ea\u4f53\u3082\u6291\u3048\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u306e\u304c\u7279\u5fb4\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3055\u3089\u306b\u3001\u8178\u306e\u50cd\u304d\u3084\u30db\u30eb\u30e2\u30f3\u30d0\u30e9\u30f3\u30b9\u304c\u5909\u5316\u3059\u308b\u3053\u3068\u3067\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u306e\u5206\u6ccc\u3084\u52b9\u304d\u65b9\u304c\u6539\u5584\u3057\u3001\u7279\u306b\u7cd6\u5c3f\u75c5\u306b\u5bfe\u3057\u3066\u9ad8\u3044\u6cbb\u7642\u52b9\u679c\u304c\u671f\u5f85\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u624b\u8853\u306f\u30012024\u5e746\u6708\u304b\u3089\u65e5\u672c\u3067\u65b0\u305f\u306b\u4fdd\u967a\u9069\u7528\u3068\u306a\u308a\u3001\u60a3\u8005\u3055\u3093\u4e00\u4eba\u3072\u3068\u308a\u306e\u72b6\u614b\u306b\u5408\u308f\u305b\u3066\u3001\u3088\u308a\u9069\u3057\u305f\u624b\u8853\u65b9\u6cd5\u3092\u9078\u3079\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"sleeve-bypass-criteria\">\u8179\u8154\u93e1\u4e0b\u30b9\u30ea\u30fc\u30d6\u30d0\u30a4\u30d1\u30b9\u8853\u306e\u9069\u5fdc\u6761\u4ef6<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u8179\u8154\u93e1\u4e0b\u30b9\u30ea\u30fc\u30d6\u30d0\u30a4\u30d1\u30b9\u8853\u306f\u3001BMI\u304c35 kg\/m\u00b2\u4ee5\u4e0a\u306e\u9ad8\u5ea6\u80a5\u6e80\u3067\u3042\u308b\u3053\u3068\u306b\u52a0\u3048\u3066\u3001\u7cd6\u5c3f\u75c5\u3092\u5408\u4f75\u3057\u3066\u3044\u308b\u65b9\u304c\u5bfe\u8c61\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3055\u3089\u306b\u3001\u98df\u4e8b\u7642\u6cd5\u30fb\u904b\u52d5\u7642\u6cd5\u30fb\u85ac\u306b\u3088\u308b\u6cbb\u7642\u30926\u304b\u6708\u4ee5\u4e0a\u7d9a\u3051\u3066\u3082\u3001\u4f53\u91cd\u3084\u8840\u7cd6\u5024\u306e\u6539\u5584\u304c\u5341\u5206\u306b\u5f97\u3089\u308c\u3066\u3044\u306a\u3044\u5834\u5408\u306b\u691c\u8a0e\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u624b\u8853\u306f\u3001\u7279\u306b\u7cd6\u5c3f\u75c5\u306e\u6539\u5584\u3092\u5f37\u304f\u76ee\u7684\u3068\u3057\u305f\u6cbb\u7642\u3067\u3042\u308b\u70b9\u304c\u5927\u304d\u306a\u7279\u5fb4\u3067\u3042\u308a\u3001\u7cd6\u5c3f\u75c5\u3092\u5408\u4f75\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u91cd\u8981\u306a\u6761\u4ef6\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"outcomes\">\u624b\u8853\u306e\u52b9\u679c\u306b\u3064\u3044\u3066<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u8179\u8154\u93e1\u4e0b\u30b9\u30ea\u30fc\u30d6\u72b6\u80c3\u5207\u9664\u8853\u3067\u306f\u3001\u4f59\u5206\u306a\u4f53\u91cd\u306e\u7d0465\uff5e75\uff05\u7a0b\u5ea6\u306e\u6e1b\u5c11\u304c\u671f\u5f85\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4f53\u91cd\u304c\u5927\u304d\u304f\u6e1b\u308b\u3053\u3068\u3067\u3001\u7cd6\u5c3f\u75c5\u3084\u9ad8\u8840\u5727\u75c7\u306a\u3069\u306e\u6539\u5584\u3082\u671f\u5f85\u3067\u304d\u3001\u7cd6\u5c3f\u75c5\u3067\u306f\u7d0462.1\uff05\u306e\u65b9\u304c\u85ac\u3092\u4f7f\u308f\u306a\u3044\u72b6\u614b\uff08\u5bdb\u89e3\uff09\u306b\u81f3\u308b\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002(<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28971291\">https:\/\/pubmed.ncbi.nlm.nih.gov\/28971291<\/a>)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e00\u65b9\u3001\u8179\u8154\u93e1\u4e0b\u30b9\u30ea\u30fc\u30d6\u30d0\u30a4\u30d1\u30b9\u8853\u3067\u306f\u3001\u3055\u3089\u306b\u5f37\u3044\u4ee3\u8b1d\u6539\u5584\u52b9\u679c\u304c\u671f\u5f85\u3055\u308c\u307e\u3059\u3002\u7279\u306b\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u306e\u52b9\u304d\u306b\u304f\u3055\uff08\u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027\uff09\u304c\u6539\u5584\u3057\u3084\u3059\u304f\u3001\u9577\u671f\u7684\u306b\u8840\u7cd6\u5024\u3092\u5b89\u5b9a\u3055\u305b\u308b\u52b9\u679c\u304c\u9ad8\u3044\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"medical-therapy\">\u30de\u30f3\u30b8\u30e3\u30ed\u30fb\u30bc\u30c3\u30d7\u30d1\u30a6\u30f3\u30c9\u306a\u3069\u5185\u79d1\u6cbb\u7642\u3068\u306e\u6bd4\u8f03<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u8fd1\u5e74\u3001\u80a5\u6e80\u6cbb\u7642\u3067\u5927\u304d\u306a\u6ce8\u76ee\u3092\u96c6\u3081\u3066\u3044\u308b\u306e\u304c\u3001\u7cd6\u5c3f\u75c5\u6cbb\u7642\u85ac\u306e\u30de\u30f3\u30b8\u30e3\u30ed\u3068\u3001\u80a5\u6e80\u75c7\u6cbb\u7642\u85ac\u306e\u30bc\u30c3\u30d7\u30d1\u30a6\u30f3\u30c9\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u308c\u3089\u306f\u3044\u305a\u308c\u3082\u540c\u3058\u6210\u5206\uff08\u30c1\u30eb\u30bc\u30d1\u30c1\u30c9\uff09\u3092\u6709\u3057\u3066\u304a\u308a\u3001\u6cbb\u7642\u306e\u76ee\u7684\u306b\u5fdc\u3058\u3066\u4f7f\u3044\u5206\u3051\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u308c\u3089\u306e\u85ac\u5264\u3092\u7528\u3044\u305fSURMOUNT-1\u8a66\u9a13\u3067\u306f\u3001\u6700\u5927\u7528\u91cf\u3067\u3042\u308b15 mg\u306b\u304a\u3044\u3066\u5e73\u5747\u7d0420.9\uff05\u306e\u4f53\u91cd\u6e1b\u5c11\u304c\u8a8d\u3081\u3089\u308c\u3001\u3055\u3089\u306b\u7d0440\uff05\u306e\u65b9\u304c25\uff05\u4ee5\u4e0a\u306e\u4f53\u91cd\u6e1b\u5c11\u3092\u9054\u6210\u3057\u307e\u3057\u305f\u3002\u5f93\u6765\u306e\u85ac\u5264\u3068\u6bd4\u8f03\u3057\u3066\u3082\u3001\u975e\u5e38\u306b\u9ad8\u3044\u6e1b\u91cf\u52b9\u679c\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002(<a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa2206038?utm_source=openevidence\" target=\"_blank\" rel=\"noopener\" title=\"\">https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa2206038?utm_source=openevidence<\/a>)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3055\u3089\u306b\u91cd\u8981\u306a\u306e\u304c\u3001\u624b\u8853\u3068\u306e\u6bd4\u8f03\u3067\u3059\u3002\u4e00\u822c\u7684\u306bGLP-1\u53d7\u5bb9\u4f53\u4f5c\u52d5\u85ac\u306f\u3001\u80a5\u6e80\u624b\u8853\u3068\u6bd4\u8f03\u3059\u308b\u3068\u4f53\u91cd\u6e1b\u5c11\u91cf\u3084\u7cd6\u5c3f\u75c5\u306e\u6539\u5584\u52b9\u679c\u306e\u70b9\u3067\u52a3\u308b\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p 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id=\"clinic-policy\">\u5f53\u30af\u30ea\u30cb\u30c3\u30af\u306e\u6cbb\u7642\u65b9\u91dd<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u5f53\u30af\u30ea\u30cb\u30c3\u30af\u3067\u306f\u3001\u80a5\u6e80\u75c7\u306e\u6cbb\u7642\u306b\u304a\u3044\u3066\u3001\u307e\u305a\u306f\u4f53\u3078\u306e\u8ca0\u62c5\u304c\u5c11\u306a\u3044\u5185\u79d1\u7684\u306a\u6cbb\u7642\u3092\u512a\u5148\u3057\u3066\u3044\u307e\u3059\u3002<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30de\u30f3\u30b8\u30e3\u30ed\u306a\u3069\u306e\u85ac\u7269\u7642\u6cd5\u3068\u3001\u98df\u4e8b\u3084\u904b\u52d5\u3068\u3044\u3063\u305f\u751f\u6d3b\u7fd2\u6163\u306e\u898b\u76f4\u3057\u3092\u7d44\u307f\u5408\u308f\u305b\u3001\u7121\u7406\u306e\u306a\u3044\u5f62\u3067\u6bb5\u968e\u7684\u306b\u6cbb\u7642\u3092\u9032\u3081\u3066\u3044\u304d\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p 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class=\"wp-block-paragraph\"><strong>\u5f53\u30af\u30ea\u30cb\u30c3\u30af\u3067\u306f\u3001\u624b\u8853\u3092\u7121\u7406\u306b\u52e7\u3081\u308b\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/strong>\u6cbb\u7642\u306e\u30e1\u30ea\u30c3\u30c8\u3068\u30c7\u30e1\u30ea\u30c3\u30c8\u3092\u3057\u3063\u304b\u308a\u3054\u8aac\u660e\u3057\u305f\u3046\u3048\u3067\u3001\u5fc5\u8981\u306b\u5fdc\u3058\u3066\u4fe1\u983c\u3067\u304d\u308b\u5c02\u9580\u306e\u533b\u7642\u6a5f\u95a2\u3092\u3054\u7d39\u4ecb\u3044\u305f\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u60a3\u8005\u3055\u3093\u4e00\u4eba\u3072\u3068\u308a\u306b\u5408\u3063\u305f\u6cbb\u7642\u3092\u3001\u4e00\u7dd2\u306b\u8003\u3048\u3066\u3044\u304f\u3053\u3068\u3092\u5927\u5207\u306b\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"consult\">\u307e\u305a\u306f\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u80a5\u6e80\u75c7\u306e\u6cbb\u7642\u306f\u4e00\u4eba\u3072\u3068\u308a\u7570\u306a\u308a\u3001\u6700\u9069\u306a\u65b9\u6cd5\u3082\u305d\u308c\u305e\u308c\u7570\u306a\u308a\u307e\u3059\u3002\u5927\u5207\u306a\u306e\u306f\u3001\u7121\u7406\u306a\u304f\u7d99\u7d9a\u3067\u304d\u308b\u6cbb\u7642\u3092\u9078\u3076\u3053\u3068\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5f53\u30af\u30ea\u30cb\u30c3\u30af\u3067\u306f\u3001\u533b\u5e2b\u306b\u3088\u308b\u8a3a\u7642\u306b\u52a0\u3048\u3066\u3001\u7ba1\u7406\u6804\u990a\u58eb\u306b\u3088\u308b\u6804\u990a\u6307\u5c0e\u3082\u884c\u3044\u3001\u98df\u4e8b\u9762\u304b\u3089\u306e\u30b5\u30dd\u30fc\u30c8\u3082\u91cd\u8996\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3000<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5185\u79d1\u7684\u306a\u6cbb\u7642\u3092\u4e2d\u5fc3\u306b\u3001\u5fc5\u8981\u306b\u5fdc\u3058\u3066\u5c02\u9580\u533b\u7642\u6a5f\u95a2\u3068\u9023\u643a\u3057\u306a\u304c\u3089\u6cbb\u7642\u3092\u9032\u3081\u3066\u3044\u304d\u307e\u3059\u3002\u98df\u4e8b\u3084\u904b\u52d5\u306e\u5177\u4f53\u7684\u306a\u30dd\u30a4\u30f3\u30c8\u306b\u3064\u3044\u3066\u306f\u3001\u300c<a href=\"https:\/\/nakano-dm.clinic\/blog\/post-357\" 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