Adolescent bariatric surgery.

نویسندگان

Daniel S Hsia

Sara C Fallon

Mary L Brandt

چکیده

Pediatric obesity has increased from a relatively uncommon problem to one of the most important public health problems facing children today. Typical "adult" diseases, such as type 2 diabetes mellitus, hypertension, and dyslipidemia, have become increasingly prevalent in the pediatric population. The earlier presentation of these comorbidities will have a significant impact for the future because this population of children will require more medical resources at an earlier age and will have a significantly decreased life expectancy. The significant morbidity of obesity in the pediatric population has led to consideration of more aggressive treatment protocols for obesity in children, including the introduction of surgical management at an earlier age. Surgery for obesity in adolescents has particular risks and benefits that must be accounted for when considering this approach. The unique psychological and emotional needs of adolescent patients make the patient selection process and perioperative management substantially different from those of adult patients. Initial outcomes of bariatric surgery in adolescents are comparable to those seen in adults in the short term. However, the long-term effects of these procedures on the adolescent population are not known. This review discusses the epidemiology of pediatric obesity, the indications for operative therapy in adolescent patients, the common surgical procedures used for weight loss, the reported outcomes of these procedures, and the importance of multidisciplinary management for this unique patient population.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Adolescent bariatric surgery.

Obesity has become an increasingly serious problem in pediatric and adolescent populations in the United States. Although bariatric surgery has been offered to morbidly obese adolescents for the past several decades, it remains controversial. However, the benefits of weight loss surgery in this population have been realized, particularly its long-term physical and emotional effects on adolescen...

متن کامل

Bariatric surgery in adolescents: recent national trends in use and in-hospital outcome.

OBJECTIVES To analyze recent nationwide trends in the use of adolescent bariatric surgery and to compare early postoperative outcomes of adolescents and adults undergoing these procedures. DESIGN Analysis of national administrative data by using survey analysis techniques. SETTING Data obtained from the Nationwide Inpatient Sample from 1996 to 2003. PARTICIPANTS Adolescents (aged <20 year...

متن کامل

'For the cases we've had… I don't think anybody has had enormous confidence'--exploring 'uncertainty' in adolescent bariatric teams: an interpretative phenomenological analysis.

WHAT IS ALREADY KNOWN ABOUT THIS SUBJECT Bariatric surgery is more effective for weight loss in severe obesity than lifestyle interventions. The number of bariatric surgery procedures carried out in England in adults has almost doubled between 2008 and 2011. Bariatric surgery is increasingly being offered to adolescents with severe obesity. WHAT THIS STUDY ADDS A predominant theme of 'uncerta...

متن کامل

Adolescent Bariatric Surgery — Thoughts and Perspectives from the UK

Opinions of healthcare professionals in the United Kingdom regarding bariatric surgery in adolescents are largely unknown. This study aims to explore the perspectives of medical professionals regarding adolescent bariatric surgery. Members of the British Obesity and Metabolic Surgery Society and groups of primary care practitioners based in London were contacted by electronic mail and invited t...

متن کامل

What Is the Evidence for Paediatric/Adolescent Bariatric Surgery?

PURPOSE OF REVIEW In spite of the increasing prevalence of severe and complex obesity in children, surgery as a potential management option is still not widely accepted. The purpose of this review is to examine the evidence for surgical options in the severely obese paediatric population. Increasing evidence supports early rather than later use of bariatric surgery in the treatment of extreme o...

متن کامل