青少年减重手术的最新进展。

Update on Adolescent Bariatric Surgery.

机构信息

Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA.

Department of Surgery, Emory University School of Medicine, Children's Healthcare of Atlanta, 1405 Clifton Road NE, Atlanta, GA 30322, USA.

出版信息

Endocrinol Metab Clin North Am. 2016 Sep;45(3):667-76. doi: 10.1016/j.ecl.2016.04.015.

DOI:10.1016/j.ecl.2016.04.015

PMID:27519138

Abstract

Childhood obesity remains a significant public health issue. Approximately 8% of adolescent girls and 7% of adolescent boys have severe (≥class 2) obesity. Adolescent severe obesity is associated with numerous comorbidities, and persists into adulthood. Bariatric surgery is the most effective treatment available, resulting in major weight loss and resolution of important comorbid conditions. Clinical practice guidelines for pediatric obesity treatment recommend consideration of surgery after failure of behavioral approaches. Careful screening and postoperative management of patients by a multidisciplinary team is required. Long-term studies are needed to assess the impact of adolescent bariatric surgery.

摘要

儿童肥胖仍然是一个重大的公共卫生问题。大约 8%的少女和 7%的少年患有严重肥胖（≥2 级）。青少年严重肥胖与多种合并症有关，并持续到成年。减重手术是目前最有效的治疗方法，可显著减轻体重并解决重要的合并症。儿科肥胖治疗的临床实践指南建议，在行为方法失败后考虑手术。需要多学科团队对患者进行仔细的筛选和术后管理。需要进行长期研究来评估青少年减重手术的影响。