Center for Healthy Weight and Nutrition, Nationwide Children's Hospital, Columbus, Ohio, USA.
Department of Pediatrics, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Clin Obes. 2020 Aug;10(4):e12367. doi: 10.1111/cob.12367. Epub 2020 May 11.
It is increasingly evident that bariatric surgery is an effective treatment option to manage severe obesity and its comorbidities in adolescent patients. This case report follows an adolescent who developed a restrictive eating disorder within months after bariatric surgery. Identifying and treating eating disorders after bariatric surgery can be difficult due to the conflicting goals of weight loss after surgery and weight gain in treatment of a restrictive eating disorder. Moreover, treating older adolescents can be challenging when they refuse treatment or go against medical advice. As more adolescents choose bariatric surgery, it is imperative that clinicians remain sensitive to weight-related outcomes, possible eating disorders and adolescent autonomy. Early collaboration between weight management and eating disorder programs is essential.
越来越明显的是，减重手术是一种有效的治疗选择，可以治疗青少年患者的严重肥胖症及其合并症。本病例报告随访了一名青少年，他在减重手术后数月内出现了限制性饮食障碍。由于术后减重和治疗限制性饮食障碍时增重的目标相互冲突，因此在减重手术后识别和治疗饮食障碍可能具有挑战性。此外，当青少年拒绝治疗或违背医嘱时，治疗年龄较大的青少年可能会具有挑战性。随着越来越多的青少年选择减重手术，临床医生必须对与体重相关的结果、可能的饮食障碍和青少年自主性保持敏感。体重管理和饮食障碍项目之间的早期合作至关重要。
