Adolescent Bariatric Surgery: Psychosocial Health and Risk Across Ten Years

项目摘要/摘要 减肥手术正在成为治疗青少年严重肥胖症的一种安全有效的方法，但 从长远来看，改善的持久性和对患者福祉的影响在很大程度上是未知的。这是一个 关键差距：成年人有证据表明，最佳和次佳减肥效果的模式贯穿于 术后第一个十年或更长时间，以及酒精使用障碍率(AUD)和 自杀身亡。与成年人不同，这名青少年患者的手术后进程与已知的 心理健康障碍首次出现，高风险行为参与达到顶峰的发育期， 包括酗酒/吸烟/吸毒、艾滋病毒/性危险行为和自杀行为。因此，仅跟踪 青少年减肥手术后的身体健康状况不能充分反映

Project Summary/Abstract Bariatric surgery is emerging as a safe and efficacious treatment for adolescent severe obesity, yet the durability of improvements and impact on patient well-being in the longer-term is largely unknown. This is a critical gap given adult evidence that patterns of optimal and suboptimal weight loss outcomes extend across the first post-operative decade or more, as well as by increased rates of alcohol use disorder (AUD) and risk of death by suicide. Unlike an adult, the adolescent patient's post-operative course cuts across known developmental periods where mental health disorders first emerge, and high risk behavior engagement peaks, including alcohol/tobacco/drug use, HIV/sexual-risk behaviors, and suicidal behaviors. Hence, tracking only adolescent physical health outcomes following bariatric surgery does not sufficiently capture the