Surgical Weight Loss Program for Teens, Cincinnati Children's Hospital Medical Center, Ohio 45229, USA.
Curr Opin Pediatr. 2011 Jun;23(3):351-5. doi: 10.1097/MOP.0b013e3283465923.
Adolescent obesity is rapidly becoming a significant public health issue. To date, there are no medical therapies that provide significant and durable weight loss. The surgical treatment of adolescent obesity is a rapidly evolving field.
Recent publications have focused on the increase in the morbidity and mortality of adolescent obesity into adulthood. There have been significant findings that overweight children and adolescents progress towards severe obesity as adults. Firm guidelines for bariatric surgery in adults have been established for over 15 years, but there have been insufficient data in regards to guidelines for adolescents. The trend has always been to be more conservative, but a recent paper reviews the available literature to establish new guidelines. Adolescents can see a significant amount of weight loss in the first year after bariatric surgery with a resolution of diabetes and other cardiovascular risk factors. Bariatric surgery is well tolerated and effective, but carries with it long-term nutritional deficiencies, which need to be assessed and supplemented.
Given the recent rise in obesity seen in this population, the surgical management of the adolescent has increased in popularity. Bariatric surgery is well tolerated and provides significant weight loss in those who are severely obese.
青少年肥胖正迅速成为一个重大的公共卫生问题。迄今为止，还没有能提供显著和持久减肥效果的医学疗法。青少年肥胖的手术治疗是一个快速发展的领域。
最近的出版物集中在青少年肥胖症在成年后发病率和死亡率的增加上。有重要的发现表明，超重的儿童和青少年会在成年后发展为严重肥胖。针对成年人的减肥手术已有 15 年以上的明确指导方针，但针对青少年的指导方针的数据不足。一直以来，人们都更倾向于保守治疗，但最近的一篇论文回顾了现有文献，以制定新的指导方针。青少年在减肥手术后的第一年可以看到显著的体重减轻，糖尿病和其他心血管风险因素也得到了缓解。减肥手术耐受良好且有效，但也会导致长期的营养缺乏，需要进行评估和补充。
鉴于该人群中肥胖率的最近上升，青少年的手术治疗越来越受到欢迎。减肥手术耐受性良好，能为严重肥胖者提供显著的体重减轻效果。
