庆祝上市 全新改版

【medical-news】美国严重肥胖青年进行外科手术人员剧增

>
Sharp Increase In US Teens Tackling Severe Obesity With Surgery
Main Category: Obesity / Weight Loss / Fitness News

A nationwide US study has revealed that the yearly number of teenagers having surgery to tackle severe obesity has increased sharply since the 1990s.

But while this figure may seem alarming, it still represents a very small proportion of total bariatric surgeries, and compared to adults, teenagers who have this surgery are at no greater risk, they recover more quickly, and to date none of them has died.

The results of the study are published in the March issue of the journal Archives of Pediatrics & Adolescent Medicine.

Researchers based at the Robert Wood Johnson Medical School and Cincinnati Children's Hospital Medical Center analyzed records from the Nationwide Inpatient Sample from 1996 to 2003 to compare the early postoperative results for morbidly obese adult and adolescent patients (12 to 19-year olds) who underwent bariatric surgery in that time.

The total number of adolescents who have had bariatric surgery in that period totals 2,744.

Dr Randall Burd, a pediatric surgeon and researcher at Robert Wood Johnson Medical School, and colleagues looked in particular at postoperative complications, the length of time the patients spent in hospital, how much the hospital charged, and the number of deaths as a result of the surgery.

They found that the number of adolescent bariatric cases in 2003 was 771, representing less than 0.7 per cent of the total number in the whole of the US.

However, this figure was nearly three times the annual rate between 1996 and 2000 which had remained steady at around 200 procedures per year and then rose sharply during 2000 to 2003.

When they compared the postoperative complications between adult and teenage patients they found little difference in the kind and number, but the teenagers on average spent less time in hospital - they recovered more quickly.

Also, while 0.2 per cent of adults died following surgery complications, there were no deaths among the teenage patients.

The researchers concluded that while bariatric surgery for adolescent patients has seen a sharp rise in recent years, it is still rare. The study is a first step toward consolidating nationwide research on the short and long term effects of this procedure on morbidly obese adolescents.

"This study suggests that the risks for adolescents undergoing weight loss surgery are low and may be even lower than in adults," said co-researcher Dr Thomas Inge, surgical director of the Comprehensive Weight Management Center at Cincinnati Children's Hospital, and associate professor of Surgery and Pediatrics at the University of Cincinnati College of Medicine.

Bariatric surgery includes procedures such as gastric bypass, stomach stapling and banding. It is used as a last resort to help morbidly obese teenagers to bring down their weight.

Morbidly obese teenagers are at risk for type 2 diabetes, sleep apnea and heart disease.

"This trend, which seems to parallel the increase in adult bariatric surgery, suggests that the health benefits of bariatric surgery, including reducing the patient's diabetes, sleep apnea and heart disease, for example, are increasingly being recognized by patients and both adult and pediatric healthcare providers nationwide," said Dr Burd.

Dr Inge added that, "For teens who have tried all other options, it appears that not only can the surgery help them reduce their health risks, but it is possible that risks of the surgery itself are lower for teens because obesity has had fewer decades to damage vital organ systems in the body. We still must carefully monitor short- and long-term outcomes after these procedures to ensure their safety, but this news is reassuring."

The researchers found that although the majority of bariatric surgery patients are female, more male adolescents are asking for it.

One such patient is Eric Decker who had had bariatric surgery at Cincinnati Children's four years ago when he was 17 years old.

Eric began to have weight problems when he was 11. He was teased and bullied which made him depressed and gain more weight.

By the time he reached the 6th grade Eric was 190 pounds. He tried weight watchers but it didn't work for him. By the age of 16 he was 5 foot 10 and weighed 385 pounds.

He was inspired by Carnie Wilson, US singer and celebrity who underwent gastric bypass surgery to tackle her obesity problem.

"Looking back on it now, I wouldn't want to go through the pain again but it was well worth it," said Eric, who now studies journalism at the University of South Carolina.

Since his surgery Eric has remained healthy, and has a strict diet and fitness regimen.

"It's been four years since my surgery and I feel better than ever. Because of my excess skin, I have to choose clothes carefully but many people don't realize I've had the surgery until we sit down for dinner and all I can eat is a salad and a few bites of my meal. I realize it's a lifelong process but my health is worth it. I'd like to be around for a long time to fulfill my dreams," he added.

"Bariatric Surgery in Adolescents: Recent National Trends in Use and In-Hospital Outcome."
Wilson S. Tsai, Thomas H. Inge, and Randall S. Burd.
Arch Pediatr Adolesc Med, 2007;161:217-221.
Vol. 161 No. 3, March 2007.

Click here for Abstract.

Click here for American Society for Bariatric Surgery (ASBS).

Written by: Catharine Paddock
Writer: Medical News Today
本人已认领该文编译,48小时后若未提交译文,请其他战友自由认领。
Sharp Increase In US Teens Tackling Severe Obesity With Surgery

美国严重肥胖青少年进行外科手术人员剧增
Main Category: Obesity / Weight Loss / Fitness News

A nationwide US study has revealed that the yearly number of teenagers having surgery to tackle severe obesity has increased sharply since the 1990s.

一项全美调查显示每年使用外科手术治疗严重肥胖的青少年自上世纪九十年代以来剧增。

But while this figure may seem alarming, it still represents a very small proportion of total bariatric surgeries, and compared to adults, teenagers who have this surgery are at no greater risk, they recover more quickly, and to date none of them has died.

数字虽然看似惊人,但这仅仅是全部肥胖治疗外科手术的冰山一角。与成人相比,青少年接受这种手术没有较大风险,愈合较快,至今没有一例死亡。

The results of the study are published in the March issue of the journal Archives of Pediatrics & Adolescent Medicine.

此项调查研究的结果发表在3月份的《儿童与青少年医学档案杂志》上。

Researchers based at the Robert Wood Johnson Medical School and Cincinnati Children's Hospital Medical Center analyzed records from the Nationwide Inpatient Sample from 1996 to 2003 to compare the early postoperative results for morbidly obese adult and adolescent patients (12 to 19-year olds) who underwent bariatric surgery in that time.

来自罗伯特.伍德.约翰逊医学院和辛辛那提儿童医院医学中心德研究人员抽样分析了全美1996至2003年住院病人的病历,来比较在那段时间进行的治疗肥胖外科手术后的成人和12至19岁之间的青少年早期术后结果。

The total number of adolescents who have had bariatric surgery in that period totals 2,744.

那段时间内进行过该手术的青少年总数为2,744例。

Dr Randall Burd, a pediatric surgeon and researcher at Robert Wood Johnson Medical School, and colleagues looked in particular at postoperative complications, the length of time the patients spent in hospital, how much the hospital charged, and the number of deaths as a result of the surgery.

儿外科医师、罗伯特.伍德.约翰逊医学院研究员兰德洱.伯德博士及其同事细致调查了手术并发症、住院时间、费用和由于手术导致的死亡数目。

They found that the number of adolescent bariatric cases in 2003 was 771, representing less than 0.7 per cent of the total number in the whole of the US.

他们发现,2003年美国执行治疗肥胖外科手术的成年人为771例,少于全美人口0.7%。

However, this figure was nearly three times the annual rate between 1996 and 2000 which had remained steady at around 200 procedures per year and then rose sharply during 2000 to 2003.

但是,这个数据大约是1996至2000年手术率的3倍。1996至2000年这个数字稳定保持在大约每年200例,2000年至20003年激增。

When they compared the postoperative complications between adult and teenage patients they found little difference in the kind and number, but the teenagers on average spent less time in hospital - they recovered more quickly.

当他们比较成年病人和青少年病人的术后并发症时,他们发现在并发症的种类和例数上没有区别,但是青少年恢复较快,住院时间较短。

Also, while 0.2 per cent of adults died following surgery complications, there were no deaths among the teenage patients.

另外0.2%的成年人死于手术并发症,但没有一例青少年死亡。

The researchers concluded that while bariatric surgery for adolescent patients has seen a sharp rise in recent years, it is still rare. The study is a first step toward consolidating nationwide research on the short and long term effects of this procedure on morbidly obese adolescents.

研究者们认为,虽然手术治疗青少年肥胖近年来激增,但仍比较少见。这项研究是巩固对该手术应用于过度肥胖青少年短期和长期疗效的全美研究的一个开端。

"This study suggests that the risks for adolescents undergoing weight loss surgery are low and may be even lower than in adults," said co-researcher Dr Thomas Inge, surgical director of the Comprehensive Weight Management Center at Cincinnati Children's Hospital, and associate professor of Surgery and Pediatrics at the University of Cincinnati College of Medicine.

“这项研究认为执行减肥手术的青少年所冒风险不大,甚至低于成年人。”托马斯.尹格博士如是说,他是辛辛那提儿童医院全面体重控制中心外科主任,辛辛那提大学医学院外科和儿科副教授。

Bariatric surgery includes procedures such as gastric bypass, stomach stapling and banding. It is used as a last resort to help morbidly obese teenagers to bring down their weight.

手术治疗肥胖包括胃绕道、胃吻合和胃带等。这是帮助过度肥胖青少年减肥的最后选择。

Morbidly obese teenagers are at risk for type 2 diabetes, sleep apnea and heart disease.

过度肥胖青少年面临2型糖尿病、睡眠呼吸阻塞和心脏病等风险。

"This trend, which seems to parallel the increase in adult bariatric surgery, suggests that the health benefits of bariatric surgery, including reducing the patient's diabetes, sleep apnea and heart disease, for example, are increasingly being recognized by patients and both adult and pediatric healthcare providers nationwide," said Dr Burd.

“伴随着外科治疗过度肥胖手术的增加,手术的优点也表现出来,例如包括降低病人糖尿病、睡眠呼吸阻塞和心脏病等,这逐渐得到患者和全国的成人和儿科医护人员的公认。”伯德如是说。

Dr Inge added that, "For teens who have tried all other options, it appears that not only can the surgery help them reduce their health risks, but it is possible that risks of the surgery itself are lower for teens because obesity has had fewer decades to damage vital organ systems in the body. We still must carefully monitor short- and long-term outcomes after these procedures to ensure their safety, but this news is reassuring."

尹格博士补充道:“对于尝试过其他途径的青少年来说,由于肥胖影响性命攸关的器官系统时间较短,手术治疗不仅可以降低健康风险,可能手术本身的风险也要比成人更小。我们仍然会认真监控这些手术后的短期和长期后果,来保证其安全性,但目前的报道仍然是可靠的。”

The researchers found that although the majority of bariatric surgery patients are female, more male adolescents are asking for it.

研究者们发现虽然目前手术治疗过度肥胖的患者多为女性,但男性青少年也渐渐提出需求。

One such patient is Eric Decker who had had bariatric surgery at Cincinnati Children's four years ago when he was 17 years old.

其中一个患者就是埃里克,四年前在他17岁的时候于辛辛那提儿童医院完成了治疗手术。

Eric began to have weight problems when he was 11. He was teased and bullied which made him depressed and gain more weight.

埃里克在11岁的时候开始遭遇体重问题。他因此被人嘲笑和欺凌,自卑使得体重进一步增加。

By the time he reached the 6th grade Eric was 190 pounds. He tried weight watchers but it didn't work for him. By the age of 16 he was 5 foot 10 and weighed 385 pounds.

当他上六年级时体重已经增加到190磅。他试图控制体重但一切无济于事,当他16岁时,他身高5英尺10英寸,体重385磅!

He was inspired by Carnie Wilson, US singer and celebrity who underwent gastric bypass surgery to tackle her obesity problem.

他受到了美国歌手卡妮.威尔逊的激发,卡妮是因为自己的肥胖问题而实行胃旁路手术的明星。

"Looking back on it now, I wouldn't want to go through the pain again but it was well worth it," said Eric, who now studies journalism at the University of South Carolina.

“回首看去,我再也不想经历那种疼痛,但它确实值得。”埃里克说道,它现在在南加利福尼亚大学研究新闻。

Since his surgery Eric has remained healthy, and has a strict diet and fitness regimen.

自从手术以来埃里克一直保持健康,拥有严格的饮食和健康养生。

"It's been four years since my surgery and I feel better than ever. Because of my excess skin, I have to choose clothes carefully but many people don't realize I've had the surgery until we sit down for dinner and all I can eat is a salad and a few bites of my meal. I realize it's a lifelong process but my health is worth it. I'd like to be around for a long time to fulfill my dreams," he added.

“手术四年来我感觉比以前好多了。由于皮肤过多,我不得不认真挑选衣服。但是除非和坐下来和我一同用餐,很多人不会意识到我做过手术,我只能吃色拉和一点点米饭。我意识到这需要终生努力,但为了健康这划得来。我愿意以一生时间去成就梦想。”它补充道。

"Bariatric Surgery in Adolescents: Recent National Trends in Use and In-Hospital Outcome."
Wilson S. Tsai, Thomas H. Inge, and Randall S. Burd.
Arch Pediatr Adolesc Med, 2007;161:217-221.
Vol. 161 No. 3, March 2007.

Click here for Abstract.

Click here for American Society for Bariatric Surgery (ASBS).

Written by: Catharine Paddock
Writer: Medical News Today
美国严重肥胖青少年进行外科手术人员剧增

一项全美调查显示每年使用外科手术治疗严重肥胖的青少年自上世纪九十年代以来剧增。数字虽然看似惊人,但这仅仅是全部肥胖治疗外科手术的冰山一角。与成人相比,青少年接受这种手术没有较大风险,愈合较快,至今没有一例死亡。
此项调查研究的结果发表在3月份的《儿童与青少年医学档案杂志》上。
来自罗伯特.伍德.约翰逊医学院和辛辛那提儿童医院医学中心德研究人员抽样分析了全美1996至2003年住院病人的病历,来比较在那段时间进行的治疗肥胖外科手术后的成人和12至19岁之间的青少年早期术后结果。那段时间内进行过该手术的青少年总数为2,744例。儿外科医师、罗伯特.伍德.约翰逊医学院研究员兰德洱.伯德博士及其同事细致调查了手术并发症、住院时间、费用和由于手术导致的死亡数目。
他们发现,2003年美国执行治疗肥胖外科手术的成年人为771例,少于全美人口0.7%。
但是,这个数据大约是1996至2000年手术率的3倍。1996至2000年这个数字稳定保持在大约每年200例,2000年至20003年激增。
当他们比较成年病人和青少年病人的术后并发症时,他们发现在并发症的种类和例数上没有区别,但是青少年恢复较快,住院时间较短。
另外0.2%的成年人死于手术并发症,但没有一例青少年死亡。
研究者们认为,虽然手术治疗青少年肥胖近年来激增,但仍比较少见。这项研究是巩固对该手术应用于过度肥胖青少年短期和长期疗效的全美研究的一个开端。
“这项研究认为执行减肥手术的青少年所冒风险不大,甚至低于成年人。”托马斯.尹格博士如是说,他是辛辛那提儿童医院全面体重控制中心外科主任,辛辛那提大学医学院外科和儿科副教授。
手术治疗肥胖包括胃绕道、胃吻合和胃带等。这是帮助过度肥胖青少年减肥的最后选择。
过度肥胖青少年面临2型糖尿病、睡眠呼吸阻塞和心脏病等风险。
“伴随着外科治疗过度肥胖手术的增加,手术的优点也表现出来,例如包括降低病人糖尿病、睡眠呼吸阻塞和心脏病等,这逐渐得到患者和全国的成人和儿科医护人员的公认。”伯德如是说。
尹格博士补充道:“对于尝试过其他途径的青少年来说,由于肥胖影响性命攸关的器官系统时间较短,手术治疗不仅可以降低健康风险,可能手术本身的风险也要比成人更小。我们仍然会认真监控这些手术后的短期和长期后果,来保证其安全性,但目前的报道仍然是可靠的。”
研究者们发现虽然目前手术治疗过度肥胖的患者多为女性,但男性青少年也渐渐提出需求。
其中一个患者就是埃里克,四年前在他17岁的时候于辛辛那提儿童医院完成了治疗手术。
埃里克在11岁的时候开始遭遇体重问题。他因此被人嘲笑和欺凌,自卑使得体重进一步增加。
当他上六年级时体重已经增加到190磅。他试图控制体重但一切无济于事,当他16岁时,他身高5英尺10英寸,体重385磅!
他受到了美国歌手卡妮.威尔逊的激发,卡妮是因为自己的肥胖问题而实行胃旁路手术的明星。
“回首看去,我再也不想经历那种疼痛,但它确实值得。”埃里克说道,它现在在南加利福尼亚大学研究新闻。
自从手术以来埃里克一直保持健康,拥有严格的饮食和健康养生。
“手术四年来我感觉比以前好多了。由于皮肤过多,我不得不认真挑选衣服。但是除非和坐下来和我一同用餐,很多人不会意识到我做过手术,我只能吃色拉和一点点米饭。我意识到这需要终生努力,但为了健康这划得来。我愿意以一生时间去成就梦想。”它补充道。
您的位置:医学教育网 >> 医学资料