Division of Pediatric Surgery, University of California, Los Angeles, California 90095, USA.
Curr Opin Pediatr. 2011 Oct;23(5):552-6. doi: 10.1097/MOP.0b013e32834a1b49.
The review summarizes the recent studies of bariatric surgery outcomes in adolescents.
Randomized prospective studies demonstrate superior weight loss, resolution of comorbidities, and improvement in quality of life in morbidly obese adolescents undergoing bariatric surgery vs. lifestyle changes alone. The enthusiasm for laparoscopic adjustable banding (LAGB) has been tempered by high reoperation rates. Laparoscopic sleeve gastrectomy (LSG) is a promising procedure for adolescents because it avoids intestinal bypass and implantation of a foreign body; recent data from adult series demonstrate mid-term results comparable with laparoscopic roux-en-y gastric bypass (LRYGB) with an improved safety profile.
Bariatric surgery is superior to lifestyle changes alone in treating adolescent morbid obesity. LRYGB remains the gold-standard operation for both adolescents and adults. Although LAGB and LSG are appealing because they avoid intestinal bypass, long-term studies are needed to fully evaluate their efficacy and safety in the adolescent population.
本文总结了近期关于青少年减重手术效果的研究。
随机前瞻性研究表明，与单纯生活方式改变相比，肥胖青少年接受减重手术后体重减轻更多、合并症得到解决、生活质量得到改善。腹腔镜可调节带（LAGB）的应用热情因高再手术率而受挫。腹腔镜袖状胃切除术（LSG）是一种很有前途的青少年手术方法，因为它避免了肠道旁路和异物植入；来自成人系列的最新数据表明，与腹腔镜 Roux-en-Y 胃旁路术（LRYGB）相比，其中期结果具有可比性，且安全性更高。
减重手术在治疗青少年肥胖方面优于单纯生活方式改变。LRYGB 仍然是青少年和成人的金标准手术。尽管 LAGB 和 LSG 因为避免肠道旁路而具有吸引力，但仍需要长期研究来充分评估它们在青少年人群中的疗效和安全性。
