在年轻的青春期后患有肥胖症的人群中,腹部外科手术的使用不足
Ariana S Ginsberg1, Artur Chernoguz2
1Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Clinical therapeutics
|September 11, 2024
概括
青少年肥胖症的减肥手术未得到充分利用. 提供者咨询显著增加了患者愿意考虑这个改变人生的肥胖治疗在早期后青春期.
科学领域:
- 青少年医学 青少年医学
- 腹腔外科手术的结果
- 治疗肥胖症的治疗方法
背景情况:
- 腹部外科手术是青少年肥胖症的有效治疗方法,但未得到充分利用.
- 许多肥胖的年轻人在18岁以后满足了减肥手术的标准.
研究的目的:
- 了解患者对减肥手术的看法.
- 确定在早期青春期后增加减肥手术利用率的策略.
主要方法:
- 对被诊断患有肥胖症的18-22岁患者的电子病历进行了回顾性审查.
- 后续调查评估患者对肥胖治疗的看法.
主要成果:
- 超过一半的肥胖患者在18岁后达到BMI≥35kg/m2,使他们有资格接受手术.
- 只有2%的符合条件的患者接受了减肥手术;大多数患者的BMI在没有干预的情况下增加.
- 回想到手术咨询的患者与没有回想到手术咨询的患者相比,更有可能考虑减肥手术 (66.7%) (4.6%).
结论:
- 腹部外科手术在青春期早期未得到充分利用,原因是缺乏青少年提供者转诊.
- 提供者咨询对于鼓励患者考虑减肥手术至关重要.
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