倾听他们的声音：探索接受代谢和减重手术的青少年及青年患者的故事——病例系列
Hearing Their Voices: Exploring the Patient Narratives of Adolescent and Young Adults Who Have Undergone Metabolic and Bariatric Surgery-A Case Series.
作者信息
Johnson Veronica R, Northam Kayla A, Smith Joice J, Newsome Faith Anne, Gomez Gricelda, Stanford Fatima Cody
机构信息
Department of General Internal Medicine and Geriatrics, Northwestern University Feinberg School of Medicine.
Simmons University, Boston, MA.
出版信息
Med Res Arch. 2021 May;9(5). doi: 10.18103/mra.v9i5.2419. Epub 2021 May 25.
BACKGROUND
Severe obesity in adolescence and young adulthood is undertreated which leads to obesity-related chronic diseases that progress into adulthood. Many organizations including the American Academy of Pediatrics (AAP) support early consideration of metabolic and bariatric surgery (MBS) in the pediatric population to reduce morbidity and mortality.
METHODS
Five diverse patients who underwent metabolic and bariatric surgery (MBS) in the form of a Roux-en-Y gastric bypass (RYGB) and vertical sleeve gastrectomy (VSG) contributed patient narratives that captured their life, with a focus on health related quality of life, before and after MBS.
RESULTS
MBS leads to significant improvement in health status via decreased mortality and improved health related quality of life.
CONCLUSION
The perspectives of those patients who have undergone surgery in adolescence and young adulthood are not adequately captured in the medical literature. While the featured voices are not representative of all, their narratives may increase awareness and utilization of MBS in the treatment of severe obesity in the pediatric population.
背景
青少年和青年时期的重度肥胖治疗不足，这会导致与肥胖相关的慢性疾病延续至成年期。包括美国儿科学会（AAP）在内的许多组织都支持在儿科人群中尽早考虑进行代谢和减重手术（MBS），以降低发病率和死亡率。
方法
五名接受了以 Roux-en-Y 胃旁路术（RYGB）和垂直袖状胃切除术（VSG）形式的代谢和减重手术（MBS）的不同患者提供了他们的个人经历，重点讲述了他们在 MBS 手术前后与健康相关的生活质量。
结果
MBS 通过降低死亡率和改善与健康相关的生活质量，使健康状况得到显著改善。
结论
医学文献中没有充分体现那些在青少年和青年时期接受手术的患者的观点。虽然这些代表性的声音并不代表所有人，但他们的经历可能会提高人们对 MBS 在儿科人群重度肥胖治疗中的认识和应用。
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