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Bariatric surgery in paediatrics--when and how?

Martin Fried1

  • 1Clinical Center for Minimally Invasive and Bariatric Surgery Iscare-Lighthouse, Prague, Czech Republic. docfried@volny.cz

International Journal of Pediatric Obesity : IJPO : an Official Journal of the International Association for the Study of Obesity
|December 17, 2008
PubMed
Summary

Morbid obesity is a growing global issue. Bariatric surgery offers effective long-term treatment for severe obesity and related conditions in adults, but its use in adolescents lacks consensus and specific guidelines.

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Area of Science:

  • Pediatric Endocrinology
  • Bariatric Medicine
  • Public Health

Background:

  • Morbid obesity prevalence is rising globally, posing significant health, social, and economic challenges.
  • Conservative treatments for morbid obesity often fail long-term, especially in adolescents.
  • Obesity-related comorbidities like type 2 diabetes mellitus require effective interventions.

Purpose of the Study:

  • To review current perspectives on bariatric surgery for adolescents.
  • To summarize treatment outcomes of bariatric surgery in this population.
  • To highlight the lack of established guidelines for adolescent bariatric surgery.

Main Methods:

  • Literature review of existing views on adolescent bariatric surgery.
  • Analysis of reported treatment results from bariatric procedures in adolescents.
  • Examination of current consensus and guideline development in the field.

Main Results:

  • Bariatric surgery is recognized as an effective long-term treatment for severe obesity and comorbidities in adults.
  • There is a notable absence of consensus and specific guidelines regarding bariatric surgery in morbidly obese adolescents.
  • Initial treatment results from bariatric surgery in adolescents show promise but require further investigation.

Conclusions:

  • Bariatric surgery is a viable option for long-term management of severe obesity and related diseases in adolescents.
  • Further research and development of specific guidelines are crucial for the safe and effective application of bariatric surgery in this age group.
  • Addressing the rising prevalence of adolescent morbid obesity necessitates a clear treatment pathway, potentially including surgical interventions.