Adolescent Bariatric Surgery: Psychosocial Health and Risk Across Ten Years

项目概要/摘要 减肥手术正在成为青少年严重肥胖的安全有效的治疗方法， 改善的持久性和对患者长期健康的影响在很大程度上是未知的。这是一 关键的差距，因为成人的证据表明，最佳和次佳的减肥结果的模式延伸到整个 术后第一个十年或更长时间，以及酒精使用障碍（AUD）发生率和患病风险的增加 自杀身亡与成人不同，青少年患者的术后病程跨越已知的 心理健康障碍首次出现的发育期，以及高风险行为参与的高峰期， 包括酒精/烟草/药物使用，艾滋病毒/性风险行为和自杀行为。因此，仅跟踪 减肥手术后的青少年身体健康结果并不能充分反映

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