Department of Surgery, Máxima Medical Center, Veldhoven, The Netherlands.
Department of Pediatrics, Maastricht University Medical Center, Maastricht, The Netherlands.
Obes Surg. 2021 Nov;31(11):4821-4828. doi: 10.1007/s11695-021-05648-8. Epub 2021 Aug 6.
Recent studies have indicated that bariatric surgery is effective for the treatment of youth with severe obesity. The attitudes of pediatricians, parents, and adolescents regarding this topic remain unclear. Therefore, the aim of this study was to assess the current thoughts and beliefs of Dutch pediatricians, parents, and adolescents regarding bariatric surgery in youth.
An online survey containing twenty questions on bariatric surgery in youth was distributed to pediatricians of the Dutch Society of Pediatrics. Parents and adolescents who participated in an interdisciplinary care program for overweight, obesity, and severe obesity filled out an online survey of twelve questions.
One hundred and twenty-one pediatricians, 49 parents, and 19 adolescents completed the surveys. Seventy-two pediatricians (59.5%) considered bariatric surgery to be an effective treatment for youth with severe obesity when conventional treatment fails, and intend to refer patients for bariatric surgery. The most frequently suggested conditions for bariatric surgery were a minimum age of 16 years (n = 59, 48.7%), a BMI threshold of 40 kg/m (n = 51, 42.2%), and a minimum Tanner stage of IV (n = 59, 48.8%). Thirty parents (61.2%) and fourteen adolescents (73.7%) responded that bariatric surgery should become available for youth with severe obesity.
Dutch pediatricians, parents, and adolescents increasingly accept bariatric surgery as a treatment modality in youth with severe obesity who do not respond successfully to lifestyle intervention. Whether pediatricians will actually refer youth for bariatric surgery remains to be seen when this treatment option will be implemented in the Netherlands.
最近的研究表明，减重手术对治疗严重肥胖的青少年有效。儿科医生、家长和青少年对这一话题的态度尚不清楚。因此，本研究旨在评估荷兰儿科医生、家长和青少年对青少年减重手术的当前想法和信念。
一项包含 20 个关于青少年减重手术问题的在线调查分发给荷兰儿科学会的儿科医生。参加超重、肥胖和严重肥胖跨学科护理计划的家长和青少年填写了一份包含 12 个问题的在线调查。
121 名儿科医生、49 名家长和 19 名青少年完成了调查。72 名儿科医生（59.5%）认为当传统治疗失败时，减重手术是治疗严重肥胖青少年的有效方法，并打算将患者转介进行减重手术。最常建议进行减重手术的条件是最小年龄 16 岁（n=59，48.7%）、BMI 阈值为 40kg/m（n=51，42.2%）和最小 Tanner 阶段 IV（n=59，48.8%）。30 名家长（61.2%）和 14 名青少年（73.7%）表示，严重肥胖的青少年应该可以接受减重手术。
荷兰儿科医生、家长和青少年越来越接受减重手术作为对生活方式干预无反应的严重肥胖青少年的治疗方法。当这种治疗选择在荷兰实施时，儿科医生是否会将青少年转介进行减重手术还有待观察。
