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العنوان
Anesthesia For Adolescent
Bariatric Surgery
/
المؤلف
Abd El-Ghaffar,Mahmoud Ahmed .
هيئة الاعداد
باحث / محمــود أحمــد عـبد الغفـار
مشرف / هشــام محمـد العزازى
مشرف / جـــــــورج ميخائيــــل
مشرف / عزة محمد لطفى يوسف
تاريخ النشر
2017.
عدد الصفحات
142.p;
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
التخدير و علاج الألم
تاريخ الإجازة
1/1/2017
مكان الإجازة
جامعة عين شمس - كلية الطب - Anesthesia
الفهرس
Only 14 pages are availabe for public view

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from 142

Abstract

Introduction: Obesity represents a significant and growing problem around the globe aside from the impairment of an individual patient, the negative consequences impose a significant economic burden for many health care systems. The increase in severe obesity related comorbidities in adolescents, coupled with the present ineffectiveness of non-surgical therapies, have resulted in increased acceptance of weight loss surgery (WLS) as a treatment option during adolescence. For over a decade, bariatric surgical procedures have established themselves as a way to achieve a permanent weight reduction for a large number of patients. Bariatric surgery for the treatment of adolescent is becoming more common. Although few prospective or comprehensive studies have been performed to define the comorbitidies, outcomes, and safety of bariatric surgery in adolescents. Adolescent patients who wish to explore bariatric surgery must have failed at least six months of an organized attempt at weight management, and must be at, or close to, physical maturity. Patients must also have a BMI of >40 with severe comorbidities, or >50 with less severe comorbidities.
Objectives: The aim of this review is to highlight obesity of adolescents, bariatric surgery in adolescents, and anesthetic managmet for obese adolescents undergoing bariatric surgery.
Data Sources: Medline databases (Pubmed, ScienceDirect, Springer, and all materials available in the internet until 2016.
Data selection: this search studied 160 articles. The articles studied obesity of adolescents, bariatric surgery and anesthetic managmet for their.
Data Extraction: if the studies did not fulfill the inclusion criteria, they were excluded. Study quality assessment included whether ethical approval was gained, eligibility criteria specified, appropriate controls, and adequate information, and defined assessment measures.
Data synthesis: comparisons were made by structured review with the results tabulated.
Conclusions: Obesity is a chronic, multifactorial condition that results from accumulation of fat, regionally located throughout the body, due to the positive difference between food consumption and energy expenditure. nomic dysfunction; coagulopathy; Obesity is a major worldwide problem in public health, reaching epidemic proportions in many countries, especially in urbanized regions. Bariatric procedures have been shown to be more effective in the management of morbid obesity, compared to medical treatments in terms of weight loss and its sustainability is a special long-term healthcare and research work. All of the bariatric surgery adolescent patients should be managed in a comprehensive multidisciplinary program and operated in hospitals and centers with extensive experience performing bariatric surgery.