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在儿童和青少年的 laparoscopic 袖子胃切除术后减肥
Cornelia L Griggs1, Michael Kochis2, Numa P Perez1
1Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA.
Obesity surgery
|August 25, 2023
概括
腹腔镜袖胃切除术 (LSG) 是一种安全有效的减肥手术,适用于严重肥胖的儿童和青少年. 需要进一步的策略来改善手术后的长期患者随访.
科学领域:
- 儿科手术 儿科手术
- 肥胖医学 肥胖医学
- 青少年健康 青少年健康
背景情况:
- 儿童和青少年的严重肥胖与严重的医学并发症有关.
- 代谢和减肥手术,包括腹腔镜袖胃切除术 (LSG),是这个人群中越来越多地用于体重管理的选择.
- 15岁以下患者的LSG结果需要进一步调查.
研究的目的:
- 为了评估手术并发症和减肥结果后腹腔镜袖子胃切除术 (LSG) 在儿童和青少年.
- 为了比较儿科和青少年人口中不同年龄组的LSG结果.
主要方法:
- 单中心回顾性队列分析.
- 包括在2011年至2021年期间在大量儿童医院接受LSG的患者.
- 在手术后长达36个月的例行随访预约中评估体重减轻和并发症.
主要成果:
- 没有观察到手术死亡率. 两名患者出现了需要重新手术的外科并发症.
- 在所有年龄组中,在所有时间点中都观察到体重减轻,在各组之间没有统计学上显著的差异.
- 36个月后BMI Z-score的降低为13岁以下的1.79,13-14岁的1.50和15岁以上的1.16.
结论:
- 腹腔镜袖胃切除术 (LSG) 是一种安全有效的干预措施,用于实现严重肥胖的年轻青少年的减肥.
- 这项研究支持在面临严重肥胖症的儿科和青少年群体中使用LSG.
- 改善促进持续的术后随访策略对于优化长期结果至关重要.
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