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小儿代谢和减肥手术:适应证和术前多学科评估。

Pediatric metabolic and bariatric surgery: indications and preoperative multidisciplinary evaluation.

机构信息

Division of Advanced General Pediatrics and Primary Care, Ann & Robert H. Lurie Children's Hospital of Chicago, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.

Division of Pediatric Surgery, Stanford University School of Medicine, Stanford Children's Health, Stanford, California.

出版信息

Surg Obes Relat Dis. 2024 Dec;20(12):1334-1342. doi: 10.1016/j.soard.2024.08.025. Epub 2024 Aug 27.

DOI:10.1016/j.soard.2024.08.025
PMID:39304458
Abstract

The standard of care for pediatric patients with severe obesity considering metabolic and bariatric surgery is a preoperative multidisciplinary evaluation. A multidisciplinary team allows for the efficient use of variable personnel expertise to evaluate, manage, and support a pediatric patient and family through metabolic and bariatric surgery. This review discusses the purpose, recommended team members, patient selection, content, and benefits of the multidisciplinary preoperative evaluation. This evaluation should reduce barriers to care and optimize patient safety and outcomes while taking into consideration the unique developmental needs of this age group.

摘要

对于考虑代谢和减重手术的严重肥胖儿科患者,标准的治疗方法是进行术前多学科评估。多学科团队可以有效地利用各种人员的专业知识,通过代谢和减重手术来评估、管理和支持儿科患者及其家庭。本文讨论了多学科术前评估的目的、推荐的团队成员、患者选择、内容和益处。这种评估应减少护理障碍,优化患者安全和结果,同时考虑到该年龄段的独特发展需求。

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