青少年减重代谢手术失败的处理原则

doi:10.19538/j.cjps.issn1005-2208.2025.10.08

中国实用外科杂志 ›› 2025, Vol. 45 ›› Issue (10) : 1116-1120. DOI: 10.19538/j.cjps.issn1005-2208.2025.10.08

专题笔谈

青少年减重代谢手术失败的处理原则

顾岩，张丰，杨建军，董文培

作者信息 +

文章历史 +

摘要

随着青少年减重代谢手术开展的增多，减重代谢手术失败是临床医生必须面对的问题。处理青少年减重代谢手术失败应遵循系统化、阶梯式的原则。以多学科综合治疗协作组为核心，在充分评估基础上，明确手术失败的原因，制定具有针对性的个体化治疗方案。强化生活方式干预仍是青少年减重代谢手术治疗失败的基础，必要时可配合减重药物辅助治疗。在非手术治疗无效且存在明确手术指征时，可审慎考虑实施修正手术。建立有效的终生随访和支持体系对于保持与提高手术失败青少年的治疗效果具有重要意义。

Abstract

With the increasing of metabolic and bariatric surgery(MBS) performed in adolescents, the failure of MBS becomes an important issue that surgeons have to face. The management of MBS failures should follow a systematic and step-by-step principle. Based on comprehensive and in-depth evaluation by the multidisciplinary team(MDT) group, the reasons for surgical failure can be identified and develop individualized treatment. Lifestyle improvement is the foundation for management of adolescent MBS failure, and if necessary, anti-obesity medications can be used as adjuvant therapy. When non-surgical treatment is ineffective and there are indications for surgery, careful consideration may be given to revision surgery. Establishing an effective lifetime follow-up and support system is of great significance for further improving the results of MBS in adolescents.

导出引用

顾岩, 张丰, 杨建军, 董文培. 青少年减重代谢手术失败的处理原则[J]. 中国实用外科杂志. 2025, 45(10): 1116-1120 https://doi.org/10.19538/j.cjps.issn1005-2208.2025.10.08

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