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Pediatric metabolic and bariatric surgery: indications and preoperative multidisciplinary evaluation
Caren Mangarelli1, Gillian Fell2, Emily Hobbs3
1Division of Advanced General Pediatrics and Primary Care, Ann & Robert H. Lurie Children's Hospital of Chicago, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Insights
A preoperative multidisciplinary evaluation is essential for pediatric severe obesity surgery. This approach optimizes patient safety and outcomes by leveraging diverse expertise for comprehensive care.
Area of Science:
- Pediatric Surgery
- Obesity Medicine
- Adolescent Health
Background:
- Severe obesity in children requires specialized care.
- Metabolic and bariatric surgery is an option for severe pediatric obesity.
- A structured preoperative evaluation is the standard of care.
Purpose of the Study:
- To review the components of a multidisciplinary preoperative evaluation for pediatric bariatric surgery.
- To highlight the benefits of this evaluation process.
- To emphasize patient safety and developmental considerations.
Main Methods:
- Literature review of multidisciplinary preoperative evaluations.
- Discussion of team composition, patient selection, and evaluation content.
- Analysis of benefits for pediatric surgical candidates.
Main Results:
- Multidisciplinary teams enhance efficiency and expertise utilization.
- Comprehensive evaluations identify and mitigate risks.
- Tailored approaches address unique developmental needs.
Conclusions:
- Multidisciplinary preoperative evaluations are crucial for successful pediatric bariatric surgery.
- This process improves patient safety and optimizes surgical outcomes.
- Addressing developmental needs ensures holistic patient support.
Abstract:
The standard of care for pediatric patients with severe obesity considering metabolic and bariatric surgery is a preoperative multidisciplinary evaluation. A multidisciplinary team allows for the efficient use of variable personnel expertise to evaluate, manage, and support a pediatric patient and family through metabolic and bariatric surgery. This review discusses the purpose, recommended team members, patient selection, content, and benefits of the multidisciplinary preoperative evaluation. This evaluation should reduce barriers to care and optimize patient safety and outcomes while taking into consideration the unique developmental needs of this age group.
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