Pratt Janey S A, Roque Sebastian S, Valera Ruben, Czepiel Kathryn S, Tsao Deborah D, Stanford Fatima Cody
Stanford University School of Medicine, Palo Alto, CA, USA; Department of Surgery, Stanford University School of Medicine, Stanford, CA 94305, USA.
Tufts University School of Medicine, Boston, MA, USA.
Semin Pediatr Surg. 2020 Feb;29(1):150890. doi: 10.1016/j.sempedsurg.2020.150890. Epub 2020 Jan 20.
To ensure successful outcomes in pediatric patients with severe obesity who undergo metabolic and bariatric surgery (MBS), a number of pre-operative patient management options should be considered. This manuscript will review the indications and contraindications of MBS and special considerations for youth who might benefit from MBS. The treatment team conducts a thorough pre-operative evaluation, assessing risks and benefits of surgical intervention, and prepares patients and families to be successful with MBS by providing education about the surgical intervention and lifestyle changes that will be necessary. This article reviews the pre-operative considerations for adolescents with severe obesity who are being considered for MBS, based upon recent clinical practice guidelines.
为确保接受代谢和减重手术（MBS）的重度肥胖儿科患者取得成功的治疗效果，应考虑多种术前患者管理方案。本文将回顾MBS的适应症和禁忌症，以及可能从MBS中获益的青少年的特殊注意事项。治疗团队会进行全面的术前评估，评估手术干预的风险和益处，并通过提供有关手术干预和必要生活方式改变的教育，帮助患者及其家庭在MBS治疗中取得成功。本文根据近期临床实践指南，回顾了考虑接受MBS的重度肥胖青少年的术前注意事项。
