中国实用外科杂志2025，Vol.45Issue(10)：1108-1111,4.DOI:10.19538/j.cjps.issn1005-2208.2025.10.06
青少年减重代谢手术适用人群选择与值得关注的问题
Selection criteria for adolescent bariatric surgery candidates and key considerations
摘要
Abstract
Bariatric surgery serves as an effective treatment for adolescent obesity,but its successful implementation requires systematic management.Indications for surgery should be strictly determined,with a recommendation for adolescents aged 13 and above who have severe obesity with associated comorbidities.A comprehensive preoperative assessment of developmental status,metabolic indicators,and psychosocial factors is essential,supported by a multidisciplinary team.Postoperative management priorities include:(1)Lifestyle modification:focusing on the critical 6-12-month behavioral reshaping period.(2)Nutritional monitoring:adopting a stepwise approach to track micronutrient levels.(3)Psychological intervention:implementing phased dietary adjustment,emotional management,and social adaptation training.(4)Special issue management:enhancing reproductive health guidance and follow-up care.By establishing a medical-family-social support network and implementing personalized intervention strategies,long-term surgical outcomes can be ensured,promoting holistic physical and psychological recovery.Multidisciplinary collaboration remains the cornerstone of treatment quality assurance.关键词
青少年肥胖/减重代谢手术/适应证/多学科综合治疗协作组/术后管理Key words
adolescent obesity/metabolic and bariatric sur-gery/indication/multidisciplinary team/postoperative manage-ment分类
医药卫生引用本文复制引用
张弘玮,张频..青少年减重代谢手术适用人群选择与值得关注的问题[J].中国实用外科杂志,2025,45(10):1108-1111,4.基金项目
National Key Research and Development Program of China(No.2023YFC3043508) （No.2023YFC3043508）
National Natural Science Foundation of China(No.82370901) （No.82370901）
Shanghai Municipal Science and Technology Commission Popular Science Project(No.24DZ2304800) 国家重点研发计划项目(No.2023YFC3043508) （No.24DZ2304800）
国家自然科学基金项目(No.82370901) （No.82370901）
上海市市科委科普领域项目(No.24DZ2304800) （No.24DZ2304800）
