Browne Allen F
Department of Surgery, Maine Medical Center, 22 Bramhall Street, Portland, ME 04102, USA.
Gastrointest Endosc Clin N Am. 2017 Apr;27(2):313-326. doi: 10.1016/j.giec.2017.01.003.
Obesity in children and adolescents is a severe health, psychosocial, and economic problem. Treatment of obesity should be based on the physiology, biochemistry, and genetics of the disease. Treatment is designed to prevent the comorbidities of obesity and allow a healthy, high-quality, and productive life. Treatment is based on healthy living and usually involves tools such as pharmacotherapy, medical device therapy, and bariatric surgery. Bariatric surgery is not acceptable to most patients, parents, primary care providers, and payers. The most successful treatment of obesity follows a chronic disease model, provides a continuum of care, and involves many different disciplines.
儿童和青少年肥胖是一个严重的健康、心理社会和经济问题。肥胖的治疗应基于该疾病的生理学、生物化学和遗传学。治疗旨在预防肥胖的合并症,并让患者过上健康、高质量且富有成效的生活。治疗基于健康的生活方式,通常涉及药物治疗、医疗器械治疗和减肥手术等手段。大多数患者、家长、初级保健提供者和支付方都不接受减肥手术。最成功的肥胖治疗遵循慢性病模式,提供连续的护理,并涉及许多不同学科。