Preparation of a severely obese adolescent for significant and long-term weight loss: an illustrative case.
Preparation of a severely obese adolescent for significant and long-term weight loss: an illustrative case.
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DOI：
10.1007/s00383-013-3311-y
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发表时间：
2013-08
影响因子：
1.8
通讯作者：
Inge TH
中科院分区：
文献类型：
--
作者：
Kruger AJ;Hrovat KB;Xanthakos SA;Inge TH
对于计划减肥手术的严重肥胖患者，许多外科医生建议术前减肥，这对一些人来说可能很难实现。我们报告了一名16岁男性，在严重肥胖的晚期接受减肥手术，体重和BMI分别为310 kg和93 kg/m2。他还患有阻塞性睡眠呼吸暂停和高血压。为了准备他腹腔镜胃旁路手术，一个严格的术前营养干预与住院和门诊阶段的设计。他在术前减轻了22 kg，在术后67个月时又减轻了86 kg，BMI总体降低了35%。这个病例说明了一个明确的术前饮食干预的可行性和价值，以有效地管理体重的青少年提到后期严重肥胖的进展。
For severely obese patients planning bariatric surgery, many surgeons advise preoperative weight loss which can be difficult for some to achieve. We report a 16 year old male who was referred for weight loss surgery in a very late stage of severe obesity with a weight and BMI of 310 kg and 93 kg/m2, respectively. He also suffered from obstructive sleep apnea and hypertension. To prepare him for laparoscopic gastric bypass, a strict preoperative nutritional intervention with inpatient and outpatient phases was designed. He lost 22 kg preoperatively and an additional 86 kg by 67 months postoperatively, representing a 35% total reduction in BMI. This case illustrates the feasibility and value of a defined preoperative dietary intervention to effectively manage the weight of an adolescent referred late in the progression of severe obesity.
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影响因子：
3.2
作者：
Yanoff, LB;Parikh, SJ;Yanovski, JA
通讯作者：
Yanovski, JA
影响因子：
2.9
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影响因子：
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作者：
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通讯作者：
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作者：
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作者：
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通讯作者：
Proietto, Joseph