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Bariatric surgery in adolescents: an update
Stavra A Xanthakos1, Stephen R Daniels, Thomas H Inge
1Division of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, ML 2010, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, OH 45229-3039, USA. stavra.xanthakos@cchmc.org
Bariatric surgery aids selected extremely obese adolescents in losing weight and improving health when combined with lifestyle changes. This review covers surgical guidelines, procedures, and outcomes for this patient group.
Area of Science:
- Adolescent medicine
- Bariatric surgery
- Obesity treatment
Background:
- Extreme obesity in adolescents is a growing public health concern.
- Obesity-related comorbidities significantly impact adolescent health and quality of life.
- Bariatric surgery is increasingly considered for severely obese adolescents.
Purpose of the Study:
- To review current guidelines for selecting adolescent candidates for bariatric surgery.
- To discuss available bariatric procedures for adolescents.
- To review complications and outcomes of bariatric surgery in this population.
Main Methods:
- Literature review of current guidelines and published data.
- Synthesis of information on adolescent bariatric surgery candidacy.
- Analysis of procedural options, complications, and outcomes.
Main Results:
- Bariatric surgery can lead to significant weight loss in selected adolescents.
- Improvement in obesity-related comorbidities is frequently observed.
- Careful patient selection and multidisciplinary support are crucial for success.
Conclusions:
- Bariatric surgery is a viable option for carefully selected extremely obese adolescents.
- Continued medical and behavioral support is essential post-surgery.
- Further research is needed to optimize long-term outcomes and safety.
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