Related Experiment Video
Updated: Feb 7, 2026
Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
ASMBS pediatric metabolic and bariatric surgery guidelines, 2018
Janey S A Pratt1, Allen Browne2, Nancy T Browne3
1Lucille Packard Children's Hospital and Stanford University School of Medicine Stanford, California.
Updated guidelines recommend metabolic and bariatric surgery (MBS) for adolescents with severe obesity and comorbidities. Early intervention with MBS is safe, effective, and crucial for preventing long-term health issues.
Area of Science:
- Pediatric Endocrinology
- Bariatric Surgery
- Obesity Medicine
Background:
- Severe obesity in adolescents is a growing public health concern.
- Obesity is a disease requiring lifelong multidisciplinary management.
- Previous guidelines for adolescent bariatric surgery were published in 2012.
Purpose of the Study:
- To update evidence-based guidelines for metabolic and bariatric surgery (MBS) in adolescents.
- To provide recommendations for the surgical treatment of severe obesity in pediatric populations.
- To incorporate new data and definitions for severe obesity in children and adolescents.
Main Methods:
- Comprehensive literature search from 2009-2017, including 1387 articles.
- Review of supporting evidence up to February 2018.
- Analysis of data to strengthen existing guidelines.
Main Results:
- Metabolic and bariatric surgery (MBS) is safe and effective in adolescents.
- Updated definitions for severe obesity (Class II and III) using CDC growth charts are recommended.
- Adolescents with Class II obesity and a comorbidity, or Class III obesity, should be considered for MBS.
- MBS should not be withheld due to cognitive disabilities, treated mental illness, or immature bone growth.
Conclusions:
- Early intervention with MBS can reduce the risk of persistent obesity and end-organ damage.
- MBS is a critical component of a multidisciplinary approach for severe adolescent obesity.
- Guidelines emphasize considering MBS for adolescents with severe comorbidities like type 2 diabetes and obstructive sleep apnea.
More Related Videos
15:18Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure
Published on: July 30, 2009
08:52Improving Reproducibility to Meet Minimal Information for Studies of Extracellular Vesicles 2018 Guidelines in Nanoparticle Tracking Analysis
Published on: November 17, 2021
Related Concept Videos
01:24Pharmacokinetics in Pediatric Patients: Drug Metabolism
00:52What is Metabolism?
01:11Guidelines for Writing Outcome
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
01:30Guidelines for Nursing Documentation I
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
01:23Guidelines for Sketching a Curve
01:26Guidelines for Nursing Documentation II
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.