Update on Adolescent Bariatric Surgery

Nirav K Desai; Mark L Wulkan; Thomas H Inge

doi:10.1016/j.ecl.2016.04.015

Update on Adolescent Bariatric Surgery

Endocrinol Metab Clin North Am. 2016 Sep;45(3):667-76. doi: 10.1016/j.ecl.2016.04.015.

Authors

Nirav K Desai¹, Mark L Wulkan², Thomas H Inge³

Affiliations

¹ Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA. Electronic address: Nirav.desai@childrens.harvard.edu.
² Department of Surgery, Emory University School of Medicine, Children's Healthcare of Atlanta, 1405 Clifton Road NE, Atlanta, GA 30322, USA.
³ Department of Surgery, University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 2023, Cincinnati, OH 45229-3039, USA.

PMID: 27519138
DOI: 10.1016/j.ecl.2016.04.015

Abstract

Childhood obesity remains a significant public health issue. Approximately 8% of adolescent girls and 7% of adolescent boys have severe (≥class 2) obesity. Adolescent severe obesity is associated with numerous comorbidities, and persists into adulthood. Bariatric surgery is the most effective treatment available, resulting in major weight loss and resolution of important comorbid conditions. Clinical practice guidelines for pediatric obesity treatment recommend consideration of surgery after failure of behavioral approaches. Careful screening and postoperative management of patients by a multidisciplinary team is required. Long-term studies are needed to assess the impact of adolescent bariatric surgery.

Keywords: Adolescent bariatric surgery; Adolescent obesity; Obesity.

Publication types

Review

MeSH terms

Adolescent
Bariatric Surgery*
Comorbidity
Female
Humans
Male
Obesity, Morbid / surgery*
Pediatric Obesity / surgery*
Treatment Outcome
Weight Loss