关键词: 青少年, 肥胖, 减重手术, 适应证, 手术方式

Abstract: Indication and choice of bariatric surgical procedures of bariatric surgery for adolescent obesity        LIANG Hui.  Department of Bariatric and Metabolic Surgery，the First Affiliated Hospital of Nanjing Medical University，Nanjing 210029，China
Abstract    The prevalence of adolescent obesity is increasing annually in China. And it has become the health burden of socioeconomic development. Conservative treatment for severe adolescent obesity has limited therapeutic outcomes. However，due to physiological and psychological immaturity in the adolescent，bariatric surgery for the treatment of adolescent obesity has not gain wide acceptance in China. Despite limited clinical evidence，bariatric surgery for the treatment of adolescent obesity was proven to be safe and effective with low postoperative complications. The bariatric surgery is indicated mainly for the adolescent obesity with BMI≥32.5 with comorbidities. The recommendation of surgical procedures is sleeve gastrectomy and gastric bypass，while sleeve gastrectomy is considered to be the preferred choice. It is necessary to evaluate physiological and psychological maturity preoperatively. Meanwhile，postoperative life style correction and scheduled follow-up for the treatment of surgical and nutritional complications are also required. Though bariatric surgery for the treatment of adolescent obesity is less developed and has lower acceptance，it will become the most effective method for treating adolescent obesity with the accumulation of more and more high-quality clinical studies.

Key words: adolescent, obesity, bariatric surgery, indication, surgical procedures