Perioperative considerations in anesthesia for pediatric bariatric procedures

IF 1.4 3区 医学 Q3 PEDIATRICS
Brent Schakett, Grace Huang, Heena Pranav, Chris D Glover
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引用次数: 0

Abstract

Obesity is a global epidemic affecting a broad range of individuals, regardless of economic and social strata. In 2022, the World Health Organization (WHO) reported that 16 % of adults and 160 million children were living with this condition. The economic impact is significant, with a recent Milken report estimating the annual cost of obesity in the US at 1.4 trillion dollars, accounting for almost 7 % of the United States gross domestic product. It is widely recognized that the most severe forms of pediatric obesity (120 % of the 95th percentile for age and sex) represent an epidemic within an epidemic, given their potential for diminished long-term health and shortened lifespan. The treatment paradigm for obesity covers a range of approaches, with the American Academy of Pediatrics (AAP) recommending behavior and lifestyle modification as initial components of care. Since 2004, bariatric surgery has increasingly been utilized as an additional option for treating adolescent obesity, as long-term findings have shown sustained reductions in BMI and improvements in comorbid conditions. For anesthesiologists, these patients present specific challenges that require review.
小儿减肥手术麻醉的围手术期注意事项。
肥胖症是一种全球性流行病,影响范围广泛,不分经济和社会阶层。2022 年,世界卫生组织(WHO)报告称,16% 的成年人和 1.6 亿儿童患有肥胖症。肥胖症对经济的影响是巨大的,米尔肯公司最近的一份报告估计,美国每年因肥胖症造成的损失高达 1.4 万亿美元,几乎占美国国内生产总值的 7%。人们普遍认为,最严重的小儿肥胖症(年龄和性别百分位数第 95 百分位数的 120%)是一种流行病中的流行病,因为肥胖症有可能导致长期健康受损和寿命缩短。肥胖症的治疗模式包括一系列方法,美国儿科学会(AAP)建议将改变行为和生活方式作为治疗的初始组成部分。自 2004 年以来,减肥手术越来越多地被用作治疗青少年肥胖症的另一种选择,因为长期研究结果表明,肥胖症患者的体重指数(BMI)会持续下降,合并症也会有所改善。对于麻醉医生来说,这些患者带来了特殊的挑战,需要重新审视。
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来源期刊
Seminars in Pediatric Surgery
Seminars in Pediatric Surgery PEDIATRICS-SURGERY
CiteScore
2.80
自引率
5.90%
发文量
57
审稿时长
>12 weeks
期刊介绍: Seminars in Pediatric Surgery provides current state-of-the-art reviews of subjects of interest to those charged with the surgical care of young patients. Each bimontly issue addresses a single topic with articles written by the experts in the field. Guest editors, all noted authorities, prepare each issue.
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