Division of Pediatric Surgery, Children's Hospital of Illinois, University of Illinois College of Medicine-Peoria, Peoria, IL 61603, USA.
Surg Clin North Am. 2012 Jun;92(3):559-82, viii. doi: 10.1016/j.suc.2012.03.007.
Childhood obesity is a tremendous burden for children, their families, and society. Obesity prevention remains the ultimate goal but rapid development and deployment of effective nonsurgical treatment options is not currently achievable given the complexity of this disease. Surgical options for adolescent obesity have been proven to be safe and effective and should be offered. The development of stratified protocols of increasing intensity should be individualized for patients based on their disease severity and risk factors. These protocols should be offered in multidisciplinary, cooperative clinical trials to critically evaluate and develop optimal treatment strategies for morbid obesity.
儿童肥胖是儿童、家庭和社会的沉重负担。预防肥胖仍然是最终目标,但鉴于这种疾病的复杂性,目前还无法快速开发和应用有效的非手术治疗方法。已经证明,青少年肥胖的手术治疗方法是安全有效的,应该提供这种治疗方法。应该根据患者的疾病严重程度和风险因素,为他们制定个体化的、分级递增强度的方案。这些方案应该在多学科、合作的临床试验中提出,以批判性地评估和制定病态肥胖的最佳治疗策略。